Lyons Duncan, Sidhu Sandeepal
Launceston General Hospital, 274 Charles Street, Launceston, Tasmania 7250, Australia.
Radiol Case Rep. 2019 May 24;14(8):906-910. doi: 10.1016/j.radcr.2019.05.007. eCollection 2019 Aug.
Intussusception, a process whereby a segment of the intestine telescopes into the adjoining intestinal lumen, is a rare source of pain in adults that present with nonspecific abdominal pain. Imaging is the mainstay for diagnosis, which requires prompt and accurate interpretation to prevent complications. The following report details the misdiagnosis of intussusception in a 54-year-old male, whom presented to the emergency department with a 4-day history of nonrelenting abdominal pain, nausea, vomiting, and constipation. Following blood tests, chest, and abdominal imaging, the patient was discharged with a suspected passed renal stone. He soon represented to the General Practitioner, however, with equivalent pain; prompting a review of the images. It was apparent that the initial radiologist failed to recognize the subtle presence of intussusception. This case highlights the necessary consideration of intussusception as a differential diagnosis in adult patients presenting with intermittent abdominal pain. The case further emphasizes that radiologists should be familiar with the subtler signs of intussusception.
肠套叠是一段肠管套入相邻肠腔的过程,是成人中罕见的疼痛原因,表现为非特异性腹痛。影像学检查是诊断的主要手段,这需要及时准确的解读以预防并发症。以下报告详细介绍了一名54岁男性肠套叠的误诊情况,该患者因持续4天的腹痛、恶心、呕吐和便秘到急诊科就诊。经过血液检查、胸部和腹部影像学检查后,患者因疑似已排出肾结石而出院。然而,他很快又因同样的疼痛去看全科医生,这促使对影像进行复查。很明显,最初的放射科医生未能识别出肠套叠的细微表现。该病例强调了在出现间歇性腹痛的成年患者中,将肠套叠作为鉴别诊断的必要考虑因素。该病例进一步强调放射科医生应熟悉肠套叠更细微的征象。