Hasalliu Ermal, Kabir Kaiser F, Hess Jeremy, Greer Julia
Internal Medicine, Ascension Macomb-Oakland Hospital, Detroit, USA.
Internal Medicine, Michigan State University College of Osteopathic Medicine, Warren, USA.
Cureus. 2024 Jul 13;16(7):e64460. doi: 10.7759/cureus.64460. eCollection 2024 Jul.
Intussusception is the invagination of one segment of the bowel into the adjacent bowel segment leading to obstruction, intestinal ischemia and, in severe cases, peritonitis and perforation. While the condition is more common in children, adult intussusception does occur and is often attributed to malignancy. In this case report, we discuss an adult man who presented for weight loss and intermittent abdominal pain and was ultimately found to have ileocecal intussusception on CT imaging. A colonoscopy with cold biopsy was performed and pathology reports displayed a well-differentiated neuroendocrine tumor lead point; a rare event with only a few cases reported. Ultimately, the patient was taken to the operating room, and an ileocecectomy was performed with primary anastomosis. Prompt diagnosis and management are crucial in adult intussusception as a missed event can lead to tumor progression, bowel ischemia, bleeding and necrosis.
肠套叠是一段肠管套入相邻肠段，导致肠梗阻、肠缺血，严重时可引起腹膜炎和穿孔。虽然这种情况在儿童中更常见，但成人肠套叠确实会发生，且常归因于恶性肿瘤。在本病例报告中，我们讨论了一名成年男性，他因体重减轻和间歇性腹痛就诊，最终CT成像显示为回盲部肠套叠。进行了结肠镜冷活检，病理报告显示为高分化神经内分泌肿瘤套入点；这是一个罕见事件，仅有少数病例报道。最终，患者被送往手术室，行回盲部切除术并一期吻合。在成人肠套叠中，及时诊断和处理至关重要，因为漏诊可能导致肿瘤进展、肠缺血、出血和坏死。
