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

Hdl Handle:
http://hdl.handle.net/10147/577264
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:
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/10147/577264
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:
PATHOLOGY

Full metadata record

DC FieldValue Language
dc.contributor.authorJoyce, Kenneth Men
dc.contributor.authorWaters, Peadar Sen
dc.contributor.authorWaldron, Ronan Men
dc.contributor.authorKhan, Iqbalen
dc.contributor.authorOrosz, Zolt Sen
dc.contributor.authorNémeth, Tamasen
dc.contributor.authorBarry, Kevinen
dc.date.accessioned2015-09-14T11:07:35Zen
dc.date.available2015-09-14T11:07:35Zen
dc.date.issued2014-06-27en
dc.identifier.citationDiagnostic Pathology. 2014 Jun 27;9(1):127en
dc.identifier.urihttp://dx.doi.org/10.1186/1746-1596-9-127en
dc.identifier.urihttp://hdl.handle.net/10147/577264en
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/7292185123639943en
dc.language.isoenen
dc.subjectPATHOLOGYen
dc.titleRecurrent adult jejuno-jejunal intussusception due to inflammatory fibroid polyp – Vanek’s tumour: a case reporten
dc.language.rfc3066enen
dc.rights.holderJoyce et al.; licensee BioMed Central Ltd.en
dc.date.updated2015-09-10T16:01:32Zen
All Items in Lenus, The Irish Health Repository are protected by copyright, with all rights reserved, unless otherwise indicated.