Panchal Mrunal, Kumar Shishir, Jha Khushboo, Saha Kaushik, Kundu Abhijit
Department of Surgery, Tata Main Hospital, Jamshedpur, IND.
Department of Pathology, Manipal Tata Medical College, Jamshedpur, IND.
Cureus. 2024 Oct 31;16(10):e72809. doi: 10.7759/cureus.72809. eCollection 2024 Oct.
Intussusception in adults is a rare condition, often associated with an underlying pathological lead point. This case report describes a case of intussusception in a 37-year-old female patient with an unusual lead point: an appendicular mucinous neoplasm. This case highlights the clinical presentation, diagnostic process, and management of adult intussusception caused by an appendicular neoplasm. The patient underwent a right hemicolectomy, with ileo-transverse anastomosis. The lead point was a low-grade appendiceal mucinous neoplasm (LAMN) without any intraoperative spillage. No signs of recurrence were seen till the last follow-up visit. Surgical intervention with appropriate resection of the lead point remains the treatment of choice, with histopathological analysis crucial for further management, in any adult intussusception.
成人肠套叠是一种罕见疾病，常与潜在的病理性引导点相关。本病例报告描述了一名37岁女性患者发生肠套叠的病例，其引导点不同寻常：为阑尾黏液性肿瘤。本病例突出了阑尾肿瘤所致成人肠套叠的临床表现、诊断过程及治疗。患者接受了右半结肠切除术及回肠 - 横结肠吻合术。引导点为低级别阑尾黏液性肿瘤（LAMN），术中无任何溢出。直至最后一次随访未见复发迹象。对于任何成人肠套叠，以适当切除引导点的手术干预仍是首选治疗方法，组织病理学分析对进一步治疗至关重要。
