Eze Vivienne Nkechi
General Surgery, Russells Hall Hospital, Dudley, UK.
BJR Case Rep. 2016 May 5;2(2):20150508. doi: 10.1259/bjrcr.20150508. eCollection 2016.
A 22-year-old female with no significant past medical history presented with a short history of sudden onset, central abdominal pain. She was investigated with ultrasound scan of her abdomen, which showed a "lumen in lumen" appearance of the small bowel suggestive of intussusception. Subsequent CT scan of the abdomen confirmed the diagnosis with characteristic appearances of "target" sign and "reniform" mass confirming intussusception and suggestive of consequent bowel ischaemia. She went on to have an emergency laparotomy and right hemicolectomy. No lead points were identified intraoperatively and histopathology results showed no benign or malignant tumours and no polyps in the bowel lumen. She recovered well postoperatively and was discharged. Diagnosing intussusception in adults can be challenging and this case discusses the different imaging modalities that can be used in diagnosis with images of associated pathognomonic signs.
一名22岁女性，既往无重大病史，突发中腹部疼痛，病史较短。对其进行腹部超声检查，显示小肠呈“套叠管中管”表现，提示肠套叠。随后的腹部CT扫描以“靶征”和“肾形”肿块的特征性表现确诊，证实为肠套叠，并提示存在继发性肠缺血。她接受了急诊剖腹手术和右半结肠切除术。术中未发现引发肠套叠的引导点，组织病理学结果显示肠腔内无良性或恶性肿瘤，也无息肉。她术后恢复良好并出院。诊断成人肠套叠可能具有挑战性，本病例讨论了可用于诊断的不同成像方式以及相关特征性体征的图像。
