Adu Yaw, Wolkober Brianna, Nesiama Esere, Thompson Lori, Laswi Mujahed, Obokhare Izi
School of Medicine, Texas Tech University Health Sciences Center, 3601 4th St, Lubbock, TX 79430, United States.
Department of Surgery, Texas Tech University Health Sciences Center, 1400 Coulter St S, Amarillo, TX 79106, United States.
J Surg Case Rep. 2023 Oct 17;2023(10):rjad574. doi: 10.1093/jscr/rjad574. eCollection 2023 Oct.
Intussusception, an uncommon but potentially severe condition primarily associated with infants and young children, can also present in adults, posing distinct challenges in diagnosis and treatment. This report presents the case of a 22-year-old male with cystic fibrosis, who developed intussusception due to severe constipation in his distal gastrointestinal tract. The patient's initial presentation included abdominal pain, constipation, and abnormal laboratory results. Computed tomography scans revealed intussusception affecting the ascending colon and cecum, necessitating surgical intervention and subsequent bowel resection. In adults, the presence of intussusception often triggers suspicion of underlying pathological lead points. However, in this instance, the root cause was attributed to cystic fibrosis induced constipation. Current evidence suggests limited efficacy with conservative treatment, with bowel resection being the most definitive treatment option. Further research is warranted to establish comprehensive guidelines for managing this uncommon condition, particularly when intertwined with cystic fibrosis.
肠套叠是一种主要发生于婴幼儿的罕见但可能严重的病症,在成人中也可出现,给诊断和治疗带来独特挑战。本报告介绍了一名22岁患有囊性纤维化的男性病例,其因远端胃肠道严重便秘而发生肠套叠。患者最初的症状包括腹痛、便秘及异常的实验室检查结果。计算机断层扫描显示升结肠和盲肠发生肠套叠,需要进行手术干预及随后的肠切除术。在成人中,肠套叠的出现常引发对潜在病理性引导点的怀疑。然而,在本例中,根本原因是囊性纤维化导致的便秘。目前的证据表明保守治疗效果有限,肠切除术是最确切的治疗选择。有必要进行进一步研究,以制定针对这种罕见病症的综合管理指南,尤其是当它与囊性纤维化交织在一起时。