Recurrent adult jejuno-jejunal intussusception due to inflammatory fibroid polyp - Vanek's tumour: a case report

Hdl Handle:
http://hdl.handle.net/10147/322901
Title:
Recurrent adult jejuno-jejunal intussusception due to inflammatory fibroid polyp - Vanek's tumour: a case report
Authors:
Joyce, Kenneth M; Waters, Peadar S; Waldron, Ronan M; Khan, Iqbal; Orosz, Zolt S; Németh, Tamas; Barry, Kevin
Citation:
Joyce KM et al. Recurrent adult jejuno-jejunal intussusception due to inflammatory fibroid polyp - Vanek's tumour: a case report. Diagnostic Pathology. 2014 Jun 27:9(1):127
Issue Date:
27-Jun-2014
URI:
http://dx.doi.org/10.1186/1746-1596-9-127; http://hdl.handle.net/10147/322901
Abstract:
Abstract Background Adult intussusception is a rare but challenging condition. Preoperative diagnosis is frequently missed or delayed because of nonspecific or sub-acute symptoms. Case presentation We present the case of a sixty-two year old gentleman who initially presented with pseudo-obstruction. Computerised tomography displayed a jejuno-jejunal intussusception, which was treated by primary laparoscopic reduction. The patient re-presented with acute small bowel obstruction two weeks later. He underwent a laparotomy showing recurrent intussusception and required a small bowel resection with primary anastomosis. Histological examination of the specimen revealed that the intussusception lead point was due to an inflammatory fibroid polyp (Vanek’s tumour) causing double invagination. Conclusions Adult intussusception presents with a variety of acute, intermittent, and chronic symptoms, thus making its preoperative diagnosis difficult. Although computed tomography is useful in confirming an anatomical abnormality, final diagnosis requires histopathological analysis. Vanek’s tumours arising within the small bowel rarely present with obstruction or intussusception. The optimal surgical management of adult small bowel intussusception varies between reduction and resection. Reduction can be attempted in small bowel intussusceptions provided that the segment involved is viable and malignancy is not suspected. Virtual Slides The virtual slide(s) for this article can be found here: http://www.diagnosticpathology.diagnomx.eu/vs/7292185123639943
Language:
en
Keywords:
CANCER
Local subject classification:
GASTROINTESTINAL DISEASE; SURGERY

Full metadata record

DC FieldValue Language
dc.contributor.authorJoyce, Kenneth Men_GB
dc.contributor.authorWaters, Peadar Sen_GB
dc.contributor.authorWaldron, Ronan Men_GB
dc.contributor.authorKhan, Iqbalen_GB
dc.contributor.authorOrosz, Zolt Sen_GB
dc.contributor.authorNémeth, Tamasen_GB
dc.contributor.authorBarry, Kevinen_GB
dc.date.accessioned2014-07-15T11:01:00Z-
dc.date.available2014-07-15T11:01:00Z-
dc.date.issued2014-06-27-
dc.identifier.citationJoyce KM et al. Recurrent adult jejuno-jejunal intussusception due to inflammatory fibroid polyp - Vanek's tumour: a case report. Diagnostic Pathology. 2014 Jun 27:9(1):127en_GB
dc.identifier.urihttp://dx.doi.org/10.1186/1746-1596-9-127-
dc.identifier.urihttp://hdl.handle.net/10147/322901-
dc.description.abstractAbstract Background Adult intussusception is a rare but challenging condition. Preoperative diagnosis is frequently missed or delayed because of nonspecific or sub-acute symptoms. Case presentation We present the case of a sixty-two year old gentleman who initially presented with pseudo-obstruction. Computerised tomography displayed a jejuno-jejunal intussusception, which was treated by primary laparoscopic reduction. The patient re-presented with acute small bowel obstruction two weeks later. He underwent a laparotomy showing recurrent intussusception and required a small bowel resection with primary anastomosis. Histological examination of the specimen revealed that the intussusception lead point was due to an inflammatory fibroid polyp (Vanek’s tumour) causing double invagination. Conclusions Adult intussusception presents with a variety of acute, intermittent, and chronic symptoms, thus making its preoperative diagnosis difficult. Although computed tomography is useful in confirming an anatomical abnormality, final diagnosis requires histopathological analysis. Vanek’s tumours arising within the small bowel rarely present with obstruction or intussusception. The optimal surgical management of adult small bowel intussusception varies between reduction and resection. Reduction can be attempted in small bowel intussusceptions provided that the segment involved is viable and malignancy is not suspected. Virtual Slides The virtual slide(s) for this article can be found here: http://www.diagnosticpathology.diagnomx.eu/vs/7292185123639943-
dc.language.isoenen
dc.subjectCANCERen_GB
dc.subject.otherGASTROINTESTINAL DISEASEen_GB
dc.subject.otherSURGERYen_GB
dc.titleRecurrent adult jejuno-jejunal intussusception due to inflammatory fibroid polyp - Vanek's tumour: a case reporten_GB
dc.language.rfc3066en-
dc.rights.holderKenneth M Joyce et al.; licensee BioMed Central Ltd.-
dc.description.statusPeer Reviewed-
dc.date.updated2014-07-11T19:04:12Z-
All Items in Lenus, The Irish Health Repository are protected by copyright, with all rights reserved, unless otherwise indicated.