Joy Neena, Kolster Laura
Morristown Medical Center, Department of Emergency Medicine, Morristown, NJ.
J Educ Teach Emerg Med. 2024 Apr 30;9(2):V15-V17. doi: 10.21980/J8Q06C. eCollection 2024 Apr.
Intussusception is a familiar diagnosis among the pediatric population; however, it is rarely considered among the adult population due to a myriad of life-threatening pathologies within the abdomen. We present an adult female who presented to the emergency department (ED) with abdominal pain and constipation. Laboratory testing and a computed tomography (CT) scan of the abdomen were ordered. Laboratory test results were notable for an elevated lymphocyte count as well as leukocyte esterase, white blood cells (WBC), and bacteria seen on urinalysis. The computed tomography scan detected a colo-colic intussusception secondary to a benign mass within the bowel lumen. The mass was surgically resected and the patient had an uneventful postoperative course. This unique case represents the occurrence of a pathology to which the adult population is not immune, and therefore should not be overlooked when evaluating a non-specific case of abdominal pain.
Intussusception, colo-colic, obstruction, abdominal pain, constipation, female, mass, bowel, lymphocyte, ultrasound, computed tomography.
肠套叠在儿科人群中是一种常见诊断；然而，由于腹部存在众多危及生命的病症，在成人中很少被考虑。我们报告一名成年女性，她因腹痛和便秘到急诊科就诊。进行了实验室检查和腹部计算机断层扫描（CT）。实验室检查结果显示淋巴细胞计数升高，以及尿液分析中可见白细胞酯酶、白细胞（WBC）和细菌。计算机断层扫描检测到肠腔内良性肿块继发的结肠-结肠套叠。肿块经手术切除，患者术后恢复顺利。这个独特的病例表明这种病理情况在成人中也会发生，因此在评估非特异性腹痛病例时不应被忽视。
肠套叠、结肠-结肠、梗阻、腹痛、便秘、女性、肿块、肠道、淋巴细胞、超声、计算机断层扫描。
