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Query: UMLS:C0021933 (intussusception)
 3,822 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Diagnosis is central to medicine. In spite of tremendous diagnostic technological advances, no infallible test exists and in the complex diagnostic process the physician may well get lost. The ultimate feedback on the accuracy of diagnosis is the autopsy. Five patients illustrate that the autopsy may disclose unexpected results. The first patient was a 9-year-old girl who suffered from daily abdominal spasmodic pain but each time recovered. She died suddenly; autopsy revealed intestinal intussusception. A 46-year-old man who was treated for hypertension developed pain in the chest and the lower back, but there were no other signs of myocardial infarction. He died suddenly; autopsy revealed a dissecting aortic aneurysm with rupture in the left pleural cavity. A 21-year-old woman, an excellent swimmer, drowned during a swim in the sea. Autopsy revealed severe widespread coronary disease with multiple myocardial infarction. A 32-year-old Surinam woman developed acute coma and died from cardiorespiratory arrest. At autopsy she had massive pulmonary embolism and generalized lymphadenopathy due to sarcoidosis. The last patient, a 32-year-old woman suffered from fatigue after her fourth child was born. She was admitted with severe dyspnoea and her chest X-ray showed interstitial fibrosis. She died presently and autopsy revealed metastatic colon carcinoma with pulmonary lymphangitis carcinomatosa. Systematic reviews of the results of autopsies show no decline in the percentage of false diagnoses and/or unexpected findings in spite of the enormous growth of the diagnostic armamentarium. Although we may radiologically 'slice' the body in incredible detail or investigate human cells at the molecular level, the autopsy has by no means become obsolete and is an invaluable tool for quality control and teaching.
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PMID:[Truth after death]. 1059 Jul 70

Intussusception is an important cause of abdominal pain in the paediatric population and is the most common abdominal emergency in early childhood. Intussusception in adults is, however, rare and can lead to diagnostic challenges for admitting physicians/surgeons. We present a case of a 76-year-old lady with history of a recent myocardial infarction and vasculitis presenting with melaena and bleeding per rectum, with suspicion of haematochezia. She complained of abdominal pain but was not clinically obstructed. Gastroscopy performed was negative. Colonoscopy was attempted; however, it was inconclusive because of active bleeding. A CT angiogram of the abdomen was performed, which showed a jejunal intussusception. There was no evidence of vasculitis or small bowel obstruction. She was not considered fit for surgery and was managed conservatively.
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PMID:Jejunal intussusception: a cause of upper gastrointestinal bleeding? 2317 9