Open AccessIleoileal Intussusception - Rare variety
Author(s) -
Naeem Khan,
Asma Abdul Razzaq,
Mirrat Imtiaz,
Khalid Rehman Yousaf,
Nasir Raza Zaidi
Publication year - 2016
Publication title -
annals of king edward medical university
Language(s) - English
Resource type - Journals
eISSN - 2079-7192
pISSN - 2079-0694
DOI - 10.21649/akemu.v10i1.1171
Subject(s) - medicine , intussusception (medical disorder) , abdomen , vomiting , surgery , abdominal pain , ultrasound , radiology
A 23 years old man presented in emergency with acute onset of pain in the centre of abdomen. He had a history of pain in abdomen & vomiting off and on for one week only. In emergency he was investigated by plain X-Ray abdomen (erect) and other routine laboratory tests. On plain X-ray abdomen multiple air fluid levels were noted & laboratory investigations were within normal limits. He was advised routine abdominal ultrasound which revealed a gut mass measuring about 8x6.5cm showing multilayered pattern. The mass was mobile while pressing with ultrasound probe. The appearances were suggestive of Ileoileal Intussusception (rare variety of intussusception). Barium follow through was done which revealed typical coil spring appearance indicative of Ileoileal intussusception. Surgery was done which confirmed the ultrasound & Barium study findings. There was another finding on surgery after the reduction of intussusception. A rounded mass was seen at the site of intussusception which was found to be the leading factor for this ileo-ilea/ intussusception. Resection and end to end anastomosis was done. On histopathology this mass was turned out to be Fibroliposarcoma.