A case of retrograde jejuno-duodenal intussusception caused by jejunal lipoma: a case report and review of literature
DOI:
https://doi.org/10.18203/2349-2902.isj20163611Keywords:
Duodenojejunal, Retrograde, Intussusception, Jejunal lipomaAbstract
Adult intussusception is a rare entity, comprising 5% of all cases of intussusception. The presentation of adult intussusception commonly varies, ranging from chronic abdominal pain to acute presentation mimicking symptoms of bowel obstruction. This report describes a case of retrograde jejuno-duodenal intussusception in a 48-year old healthy male with a history of several episodes of diffuse abdominal pain and an acute episode of melena of 3 days duration. Examination revealed a soft, nondistended abdomen with palpable mass at upper abdomen associated with tenderness on palpation. Computed tomography scan findings revealed a 10cm length of jejuno-duodenal intussusception likely secondary to a jejunal lipoma. Exploratory laparotomy revealed resolved intussusception secondary to a lipoma which was treated with segmental intestinal resection. In this case report, we describe a rare case of retrograde jejuno-duodenal intussusception caused by a jejunal lipoma and performed a literature review on retrograde intussusception.
References
Nunez D, Bjarnason T. Barium findings in retrograde intussusception. Am J Roentgenol. 1975;125:715-22.
Marinis A, Yiallourou A, Samanides L. Intussusception of the bowel in adults : A review. World J Gastroenterol. 2009;15:407-11.
Barussaud M. Clinical spectrum and surgical approach of adult intussusceptions: a multicentric study. Int J Color Dis. 2006;21.
Gasparri M, Pipinos I, Kralovich K. Retrograde jejunogastric intussusception. South Med J. 2000;93:499-500.
Pavalkis SP. In Current Concepts in Colonic Disorders (ed. Lule DG.) (InTech, 2012). doi: Saulius Paskauskas and Dainius Pavalkis (2012). Adult Intussusception, Current Concepts in Colonic Disorders, Dr. Godfrey Lule (Ed.), In Tech, DOI: 10.5772/25416. Available from: http://www.intechopen.com/books/current-concepts-in-colonic-disorders/adult-intussusception.
Cohen HJ, Weiss G. Gastroesophageal intussusception. J Pediatr. 2016;34:367-70.
Chen LE, Bhalla S, Warner BW. Retrograde jejunoduodenal intussusception: a rare cause of acute pancreatitis after surgery for duodenal atresia. J Pediatr Surg. 2008;43:E31-3.
Ragunath K, Robers A, Senapati S. Retrograde jejunoduodenal intussusception caused by a migrated percutaneous endoscopic gastrostomy tube. Dig Dis Sci. 2004;49:1815-7.
Ciaccia D, Quigley R, Shami P. A case of retrograde jejunoduodenal intussusception caused by a feeding gastrostomy tube. Nutr Clin Pract. 1994;9:18-21.
Ozer A, Sarkut P, Ozturk E. Jejunoduodenal intussusception caused by a solitary polyp in a woman with Peutz-Jeghers syndrome: a case report. J Med Case Rep. 2014;8:13.
Norton KI, Luhmann KC. Retrograde jejunal-duodenal intussusception associated with a jejunal duplication cyst in a newborn. Pediatr Radiol. 1993;23:360-1.
Yalamarthi S, Smith RC. Adult intussusception: case reports and review of literature. Postgrad Med J. 2005;81:174-7.
Agha F. Intussusception in Adults. Am. J. Roentgenol. 1986;146:527-31.
Potts J, Samaraee A. Al. Small bowel intussusception in adults. Ann R Coll Surg Engl. 2014;96:11-4.
Renzulli P, Candinas D. Idiopathic Small Bowel Intussusception in an Adult. Can Med Assoc J. 2010;182:148.
Cera SM. Intestinal Intussusception. 2008;1:106-13.
Gupta RK, Agrawal CS, Yadav R, Bajracharya A., Sah PL. Intussusception in adults : Institutional review. Int J Surg. 2011;9:91-5.
Groper MJ. Retrograde enteric intussusception. Ann Surg. 1940;112:344-51.
Lukish JR, Eichelberger MR, Henry L, Mohan P, Markle, B. Gastroesophageal intussusception: a new cause of acute esophageal obstruction in children. J Pediatr Surgery. 2004;39:1125-7.
Osuntokun B, Falcone R, Alonso M, Cohen MB. Duodenogastric Intussusception: A rare cause of gastric outlet obstruction. J Pediatr Gastroenterol Nutr. 2004;39:299-301.
Charalambous G, Katergiannakis V, Manouras A. Jejunojejunal Lipoma Causing Intussusception. Case Rep Gastroenterol. 2012;6:684-8.
Lvoff N, Breiman RS, Coakley FV. Distinguishing Features of Self-limiting Adult Small-Bowel Intussusception Identified at CT. Radiology. 2003:227.
Catalano O. Transient Small Bowel Intussusception. Br J Radiol. 1997;70:805-8.
Charalambous G, Katergiannakis V. Jejunojejunal Lipoma Causing Intussusception. Case Rep. Gastroenterol. 2012:684-688.
Kavia S, Charig M, Desai A. Adult retrograde intussusception. Clin Radiol Extra. 2004;59:59-60.
Gowen GF, Stoldt HS, Rosato FE. Five risk factors identify patients with gastroesophageal intussusception. Arch Surg. 1999;134(12):1394-7.
Wong MD, Davidson SB, Ledgerwood AM, Lucas CE. Retrograde gastroesophageal intussusception complicating chronic achalasia. Arch Surg. 1995;130(9):1009-10.
Kefeli A, Basyigit S, Yeniova AO, Uzman M, Aktas B. Retrograde duodenoduodenal intussusception: An uncommon complication of peptic ulcer. Chin Med J. (Engl). 2015;128:2981.
Akehurst AC. Retrograde intussusception. A report of a case and a review of 103 cases in the literature. Br J Surg. 1955;43:207-13.
Simper SC, Erzinger JM, McKinlay RD, Smith SC. Retrograde (reverse) jejunal intussusception might not be such a rare problem: a single group’s experience of 23 cases. Surg Obes Relat Dis. 2008;4:77-83.
Singh S, Singh A, Bhagat S, Singh B. Retrograde jejuno-gastric intussusception. Niger J Surg. 2015;21:70-2.