Ahdi Hardeep S, Kruchko David, Asado Nahren, Kakodkar Samir
Internal Medicine, Advocate Lutheran General Hospital, Park Ridge, USA.
Gastroenterology and Hepatology, Advocate Lutheran General Hospital, Park Ridge, USA.
Cureus. 2023 Mar 16;15(3):e36217. doi: 10.7759/cureus.36217. eCollection 2023 Mar.
Intussusception in adults is a rare finding with a majority of cases occurring in the pediatric population. It occurs infrequently and its presentation, etiology, and treatment differ from childhood intussusception. When discovered in adults, it raises suspicion for a neoplastic process serving as the pathological lead point. Cross-sectional imaging is the primary study of choice for diagnosis, but at times, a more invasive approach involving an exploratory laparotomy is required posing an increased risk for morbidity and mortality. Here we present a 64-year-old male who was found to have jejunal-jejunal intussusception that was surgically removed with pathology revealing metastatic melanoma as the lead point. This case highlights a unique presentation of a melanoma that was previously eradicated with immunotherapy and now had metastasized to the intestine many years later.
成人肠套叠是一种罕见的病症，大多数病例发生在儿科人群中。它很少见，其表现、病因和治疗方法与儿童肠套叠不同。在成人中发现时，会引发对作为病理引导点的肿瘤性病变的怀疑。横断面成像检查是诊断的主要选择，但有时需要采用更具侵入性的剖腹探查术，这会增加发病和死亡风险。在此，我们报告一名64岁男性，他被发现患有空肠-空肠套叠，通过手术切除，病理显示转移性黑色素瘤为引导点。该病例突出了黑色素瘤的一种独特表现，该黑色素瘤此前已通过免疫疗法根除，多年后转移至肠道。
