Tan Jun Sam, Teah Kai Ming, Hoe Vee Chuan, Khairuddin Allim, Sellapan Harivinthan, Hayati Firdaus, Ab Rani Nor Haizura
Department of Surgery, Queen Elizabeth Hospital, Ministry of Health Malaysia, Kota Kinabalu, Sabah, Malaysia.
Department of Anaesthesiology, Queen Elizabeth Hospital, Ministry of Health Malaysia, Kota Kinabalu, Sabah, Malaysia.
Ann Med Surg (Lond). 2020 Oct 10;59:251-253. doi: 10.1016/j.amsu.2020.10.009. eCollection 2020 Nov.
Adult intussusception is a relatively rare clinical entity. The majority of cases of intussusception in adults are due to a pathologic condition that serves as a lead point and requires surgery. Small bowel intussusception is usually caused by benign or malignant neoplasms appearing at the head of the invagination. Inflammatory fibroid polyp (IFP) of the small bowel is an unusual benign neoplastic lesion that has been rarely reported to cause intussusception, especially in the jejunum.
We present a rare case of adult intussusception who presented with a triad of intestinal obstruction. Computed tomography revealed small bowel intussusception with bowel ischemia. Intraoperatively, she required resection of the small bowel and primary anastomosis. Macroscopic examination revealed a single pedunculated polyp, which is the lead point of intestinal obstruction and confirmed histologically.
Inflammatory fibroid polyp should be considered as a cause of intussusception among adults with small bowel obstruction.
成人肠套叠是一种相对罕见的临床病症。大多数成人肠套叠病例是由作为引导点的病理状况引起的，需要手术治疗。小肠套叠通常由出现在套叠头部的良性或恶性肿瘤引起。小肠炎性纤维性息肉（IFP）是一种不常见的良性肿瘤性病变，很少有报道称其会导致肠套叠，尤其是在空肠。
我们报告一例罕见的成人肠套叠病例，患者表现为肠梗阻三联征。计算机断层扫描显示小肠套叠伴肠缺血。术中，患者需要切除小肠并进行一期吻合。宏观检查发现一个带蒂息肉，它是肠梗阻的引导点，并经组织学证实。
炎性纤维性息肉应被视为成人小肠梗阻性肠套叠的一个病因。
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