Kuck Alexandra L, Smith Mark, Atassi Nour Y, Putman Sean
Edward Via College of Osteopathic Medicine, Monroe, Louisiana, USA. (Dr. Kuck).
Willis-Knighton Medical Center, Shreveport, Louisiana, USA. (Drs. Smith, Atassi, and Putman).
CRSLS. 2025 Sep 4;12(3). doi: 10.4293/CRSLS.2025.00036. eCollection 2025 Jul-Sep.
Intussusception occurs when one segment of bowel invaginates into an adjacent segment of bowel from a lead point. Literature suggests a nonpathological lead point attributed to adult intussusception: marijuana. This report describes a unique presentation of intussusception in a patient with a history of previous surgical intervention and marijuana use.
We report a 33-year-old male with a history of surgically treated intussusception and 12 years of marijuana use, who presented to the emergency department (ED) twice with nausea, vomiting, and abdominal pain. After imaging revealed intussusception, the patient underwent multiport-robot-assisted small bowel resection. The patient had no complications and was discharged after 6 days.
Intussusception can be deadly if not caught early. The use of marijuana can mislead clinicians due to similar appearing presentations. This case highlights the importance of a comprehensive patient history for abdominal pain. Additionally, it suggests placing intussusception higher in the differential for marijuana users.
当一段肠管从一个引导点套入相邻的肠管段时，就会发生肠套叠。文献表明，成人肠套叠存在一个非病理性引导点：大麻。本报告描述了一名有既往手术干预史和大麻使用史的患者发生肠套叠的独特表现。
我们报告一名33岁男性，有手术治疗肠套叠史且使用大麻12年，他两次因恶心、呕吐和腹痛到急诊科就诊。影像学检查显示肠套叠后，患者接受了多端口机器人辅助小肠切除术。患者无并发症，6天后出院。
肠套叠若不及早发现可能致命。大麻的使用可能因表现相似而误导临床医生。该病例突出了全面了解腹痛患者病史的重要性。此外，这表明在大麻使用者的鉴别诊断中应更重视肠套叠。
