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Case Report
Adult intussusception due to an inflammatory fibroid polyp, an uncommon cause of acute bowel obstruction
1 Department of General Surgery, Hospital Vozandes Quito, Quito, Ecuador
2 PGY4 Resident General Surgery, P.U.C.E, Quito, Ecuador
3 Universidad Internacional del Ecuador, Quito, Ecuador
Address correspondence to:
Gabriel A Molina
PGY4 Resident General Surgery, P.U.C.E, Quito,
Ecuador
Message to Corresponding Author
Article ID: 100038S05MA2019
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How to cite this article
Araujo MO, González HR, Ayala AV, Vayas R, Rodriguez EX, Molina GA. Adult intussusception due to an inflammatory fibroid polyp, an uncommon cause of acute bowel obstruction. Edorium J Surg 2019;6:100038S05MA2019ABSTRACT
Introduction: Intussusception is a common phenomenon in children but rare in adults, however when it happens, it usually presents with symptoms clinically indistinguishable from an acute bowel obstruction making preoperative diagnosis challenging. In rare occasions, an inflammatory fibroid polyp can be a lead point for intussusception. Most small bowel inflammatory fibroid polyps are asymptomatic and usually go undetected until they produce symptoms based on their size and location. Surgery is the definitive treatment of adult intussusceptions. Complete bowel resection with oncological principles is necessary as malignancy must always be suspected.
Case Report: We present the case of a 37-year-old female, who presented to the emergency room with acute bowel obstruction. An entero-enteric intussusception was discovered due to an inflammatory fibroid polyp. After successful surgery, she underwent complete recovery.
Conclusion: A high clinical awareness along with complete knowledge of the abdominal pathology is required for all surgeons when approaching a patient with symptoms of bowel obstruction. Even though inflammatory fibroid polyps are a rare pathology, they can cause potentially lethal scenarios and must always be considered in the differential diagnosis of bowel obstruction.
Keywords: Adult intussusception, Bowel obstruction, Inflammatory fibroid polyps
SUPPORTING INFORMATION
Author Contributions:
Milton O Araujo - Substantial contributions to conception and design, Drafting the article, Final approval of the version to be published
Hernán R González - Substantial contributions to conception and design, Interpretation of data, Drafting the article, Final approval of the version to be published
Andrés V Ayala - Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Rafaela Vayas - Substantial contributions to conception and design, Final approval of the version to be published
Esteban X Rodriguez - Drafting the article, Final approval of the version to be published
Gabriel A Molina - Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Source of SupportNone
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2019 Milton O Araujo et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
