
Closed-Loop Obstruction Caused by Double Intussusception in an Adult
Author(s) -
Maria Luísa Rosa,
Andreia Roque,
Pedro Ferreira
Publication year - 2022
Publication title -
gazeta médica/gazeta médica
Language(s) - English
Resource type - Journals
eISSN - 2184-0628
pISSN - 2183-8135
DOI - 10.29315/gm.v1i1.500
Subject(s) - intussusception (medical disorder) , distension , medicine , abdominal distension , jejunum , bowel obstruction , computed tomography , lipoma , abdominal pain , invagination , emergency department , radiology , surgery , psychiatry
A 73-year-old male presented to the emergency department with diffuse abdominal pain. Physical and analytical evaluation revealed abdominal distension, meteorism and elevated C-reactive protein. Contrast-enhanced computed tomography (CECT) was performed revealing dilated bowel-loops with air fluid levels found in between two points of transition: proximally,a jejunum-jejunal intussusception adjacent to a jejunal lipoma; distally, an ileo-ileal intussusception with enlarged lymph nodes in its mesenteric fold. [...]