An adult case of small bowel intussusception caused by hemangioma presenting with intestinal obstruction: A case report. Issue 51 (23rd December 2022)

• Record Type: Journal Article
• Authors: Shi, Chengyu; Yu, Yangyang; Zhang, Laixiang; Gao, Cheng
• Is Part Of: Medicine. Volume 101:Issue 51(2022)
• Page Start: e32268
• Publication Date: 2022-12-23
• Subjects: adult intussusception -- hemangioma -- intestinal obstruction -- small bowel; Medicine -- Periodicals; Medicine -- Periodicals; Médecine -- Périodiques; Geneeskunde; Medicine; Periodicals; Periodicals; 610.5
• DOI: 10.1097/MD.0000000000032268
• Languages: English
• ISSNs: 0025-7974

Abstract

Abstract : Introduction: Both small bowel intussusception in adults and small bowel hemangioma are rare benign mass lesions. Moreover, a secondary effect of intussusception caused by hemangioma is extremely rare. Patient concerns: A 87-year-old female suffered from intussusception and intestinal obstruction caused by hemangioma located in the small bowel (February 14, 2020), reporting abdominal distention without nausea and vomiting. Diagnosis: Emergency abdominal and pelvic computed tomography showed an intussusception with the evidence of associated small bowel obstruction. Histological analysis revealed as small intestinal hemangioma accompanied by mesenteric ulcer. Interventions: The patient underwent segmental resection of intussusception of intestine instead of invalid conservative treatment. Outcomes: Although the postoperative pathological results were inconsistent with preoperative imaging examination, the old woman recovered well. Conclusion: The literature on intussusception of small intestine has described several possible causes including hemangioma, which more likely results in gastrointestinal bleeding or abdominal pain. Yet we experienced a rare case presenting as abdominal distention without nausea and vomiting, Therefore, preoperative diagnosis and localization of these lesions is of great importance. We recommend high resolution contrast-enhanced computed tomography and magnetic resonance imaging should be considered in diagnosis while capsule endoscopy is not available owing to the intestinal obstruction, as long as in facilitating surgical excision.