Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0000727 (acute abdomen)
 3,084 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

We herein report a case of a 14-year-old male with mucosa-associated lymphoid tissue (MALT) lymphoma of the ileum as the cause of an intestinal intussusception. The patient was referred to the hospital with abdominal pain and dyspeptic complaints and was operated on with a prediagnosis of acute abdomen. Abdominal exploration revealed an ileoileal intussusception induced by a 2-cm tumor. A segmental ileal resection was done at the operation. The histopathologic examination of the specimen revealed atypical lymphocytes starting from the mucosae infiltrating the muscular layer and the serosae. Based on these findings, the tumor was diagnosed as a high-grade MALT lymphoma. The patient recovered uneventfully after the surgery, and chemotherapy was started.
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PMID:Mucosa-associated lymphoid tissue lymphoma of the ileum as the cause of an intestinal invagination. 1867 19

Inflammatory fibroid polyps are rare benign lesions of uncertain origin, that may occur in many different locations in the gastrointestinal tract, the gastric antrum being the most common site, followed by the small bowel. These lesions can cause abdominal pain, gastrointestinal bleeding, intestinal obstruction or intussusception. In the case of a gastric inflammatory fibroid polyp in the presence of Helicobacter Pylori infection, the patient can benefit from pharmacological eradication of Helicobacter Pylori. In case of an intestinal inflammatory fibroid polyp causing acute abdomen, the treatment is surgical. In this paper we report a case of an adult male patient with ileal intussusception due to an inflammatory fibroid polyp. A 62-year-old male patient presenting with acute abdomen underwent an exploratory laparotomy. At surgery an ileal tumour 15 cm from the ileocecal valve causing ileoileal intussusception was found. The intussuscepted segment was resected and an end-to-end anastomosis was carried out. The postoperative period was uneventful and the patient was discharged 5 days after the surgery. After 6 months, he is doing well and back to normal life. Even if inflammatory fibroid polyps are benign lesions, surgical treatment is the only solution when they present with intestinal intussusception. Preoperative diagnosis of inflammatory fibroid polyps is often difficult, and confirmation can only be obtained by histological and immunohistochemical examination. Since they can mimic malignant stromal lesions, the differential diagnosis must be done very carefully.
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PMID:Small bowel intussusception secondary to inflammatory fibroid polyp of the ileum: report of a case. 1868 87

We report an unusual case of an 11-year-old Greek girl with complicated acute appendicitis. The pelvic plastron that had been formatted secondary to appendix perforation was mimicking appendiceal intussusception in the preoperative ultrasound and computed tomography images. Although acute complicated appendicitis and appendiceal intussusception may represent possible causes of acute abdomen no similar cases have reported in the literature.
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PMID:Pelvic plastron secondary to acute appendicitis in a child presented as appendiceal intussusception. A case report. 1876 33

This is a case report on a 6-month-old child with an intestinal duplication cyst (ID), initially diagnosed as intussusception. As the patient failed to improve clinically after an apparently successful enema reduction, surgery was performed and an ID was found causing compression and strangulation of the ileum. ID should be considered in small children presenting with acute abdomen. This history also emphasises the need to consider alternative diagnosis to intussusception when initial enema reduction fails to relieve symptoms.
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PMID:[Intestinal duplication--an important differential diagnosis to intussusception]. 1876 66

Small bowel intussusception is a rare cause of adult acute abdomen, in which an intraluminal neoplasm is the most frequent cause. Small bowel tumors are uncommon and can have a long delay prior to diagnosis. We present a case of intestinal intussusception originating from a rare variant of small bowel mesenchymal tumor, presenting with a hematologic disorder.
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PMID:A rare case of adult intestinal intussusception: epithelioid type mesenchymal tumor of the small intestine. 1911 Jun 69

Retrograde Jejunogastric Intussusception (RJGI) is a rare but potentially very serious complication of gastrectomy or gastrojejunostomy. It was first described by Bozzi in 1914 in a patient with gastrojejunostomy. Clinically it is of two types acute and chronic. Anatomically it is of three types. The acute form is a surgical emergency. In the acute form there is chance of strangulation of the intussuscepted loop if early intervention is not done. To avoid mortality, early diagnosis and prompt surgical intervention is mandatory. There is no medical treatment for jejunogastric intussusception and surgical intervention is required for the definite treatment. It usually presents with abdominal pain, nausea, vomiting, haematemesis and a palpable diffuse lump in the upper abdomen. A history of gastric surgery can help in making a diagnosis. X-ray can occasionally be diagnostic. Endoscopy performed by someone familiar with this rare entity, is certainly diagnostic. We herein report a case of jejunogastric intussusception who presented with acute abdomen, haematemesis and abdominal lump.
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PMID:Jejunogastric intussusception. 1962 57

Intussusception is a rare clinical finding in adults. Most cases occur in the distal small bowel or large intestine. We report the case of a 65-year-old woman with known non-small-cell lung cancer (NSCLC) who presented with acute abdomen and ileus-like symptoms. Abdominal computed tomography suggested ileocecal intussusception. The patient underwent right hemicolectomy and the histopathological workup showed ileal NSCLC metastasis as the lead lesion of intussusception. The classic triad of cramping abdominal pain, bloody diarrhea and a palpable tender mass, which is present in the majority of pediatric patients, is only infrequently observed in adults. Thus, symptoms are often nonspecific and the clinical presentation may be inconspicuous. Because of the large proportion of structural anomalies, adult intussusception requires definitive treatment, of which surgical resection is the treatment of choice. In patients with colocolonic or ileocolonic intussusception, malignancy should be considered and therefore en bloc resection rather than reduction is the recommended surgical technique, whereas cases of enteric intussusceptions may be reduced by limited resection of the small intestine.
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PMID:Ileocecal intussusception caused by lung cancer metastasis. 1962

Adult small-intestinal intussusception is rare and very different from childhood intussusception. Both benign and malignant pathologies can underlie small intestinal intussusception in adults, but malignancy is much less frequent. We report a case of jejunojejunal intussusception caused by an intestinal metastasis of the sarcomatoid component of pleomorphic carcinoma of the right lung. The patient, a 61-year-old man, underwent successful segmental jejunal resection. Adult small bowel intussusception, though an unusual cause of acute abdomen, requires early diagnosis and timely management. To our knowledge, this is the first report of adult jejunojejunal double intussusception caused by metastatic sarcomatoid carcinoma of the lung.
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PMID:Adult jejunojejunal intussusception caused by metastasized pleomorphic carcinoma of the lung: report of a case. 1988 22

Inflammatory fibroid polyps are rare, localized, non-neoplastic lesions originating in the submucosa of the gastrointestinal tract. Intussusception due to inflammatory fibroid polyps is uncommon; moreover, ileo-ileal intussusception has only rarely been reported. Here, we report an 11 x 7 cm giant inflammatory fibroid polyp of the small bowel that presented as intussusception in a 73-year-old woman. Ultrasonography demonstrated a solid, homogeneous, echogenic mass surrounded by the typical mural layers of an invaginated ileum. The immunohistopathological diagnosis after segmental ileal resection was an ileal inflammatory fibroid polyp. Although encountered rarely in adults, physicians should be aware of invagination and consider it in each case of acute abdomen because of the wide spectrum of clinical settings.
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PMID:Giant inflammatory fibroid polyp of ileum causing intussusception: a case report. 1991 92

We report an unusual case of a 3-year-old child with appendicitis complicated by ileoileal intussusception. Although acute complicated appendicitis and concurrent ileoileal intussusception represent a possible cause of an acute abdomen, very few cases have been reported in the literature.
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PMID:Small bowel intussusception with pelvic plastron secondary to acute appendicitis in child. 2022 6


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