Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei 11490, Taiwan.
Department of Pathology, Tri-Service General Hospital, National Defense Medical Center, Taipei 11490, Taiwan.
Medicina (Kaunas). 2022 Feb 18;58(2):310. doi: 10.3390/medicina58020310.
Intestinal intussusception is relatively rare in adults and accounts for approximately 5% of intestinal obstruction. Intussusception is classified into subtypes according to the location, including ileoileal, ileocolic, ileo-ileocolic, colo-colic, jejuno-ileal, or jejuno-jejunal; the ileocolic type being the most common. However, intussusception of a combination of different subtypes has rarely been reported in the available literature. Abdominal computed tomography (CT) is the most accurate tool to evaluate intestinal intussusception. The pathological lead point in the intestine typically results in adult intussusception. Surgical intervention is usually adopted in cases of adult intussusception due to a high incidence of underlying bowel malignancy. An inflammatory fibroid polyp (IFP) is one of the uncommon benign neoplasms of the gastrointestinal (GI) system, which can result in intestinal intussusception. Herein, we present a case of a 50-year-old female with combined ileoileal and ileocolic intussusception, which was initially diagnosed by abdominal CT. Therefore, laparoscopic right hemicolectomy surgery was performed, confirming the final diagnosis as ileoileal and ileocolic intussusception secondary to IFP.
肠套叠在成人中相对少见，约占肠梗阻的 5%。肠套叠根据部位分为亚型，包括回肠-回肠型、回盲型、回结-回肠型、结肠-结肠型、空肠-回肠型或空肠-空肠型；回盲型最常见。然而，在现有文献中很少有报道不同亚型组合的肠套叠。腹部计算机断层扫描（CT）是评估肠套叠最准确的工具。肠道的病理性引发点通常导致成人肠套叠。由于成人肠套叠的基础肠恶性肿瘤发病率较高，通常采用手术干预。炎性纤维瘤息肉（IFP）是胃肠道（GI）系统中一种罕见的良性肿瘤，可导致肠套叠。在此，我们报告一例 50 岁女性患者，存在回肠-回肠型和回盲型肠套叠，最初通过腹部 CT 诊断。因此，进行了腹腔镜右半结肠切除术，证实最终诊断为 IFP 引起的回肠-回肠型和回盲型肠套叠。
