Nuño-Guzmán CM, Arróniz-Jáuregui J, Espejo I, Solís-Ugalde J, Gómez-Ontiveros JI, Vargas-Gerónimo A, Valle-González J. Adult intussusception secondary to an ileum hamartoma. World J Gastrointest Oncol 2011; 3(6): 103-106 [PMID: 21731910 DOI: 10.4251/wjgo.v3.i6.103]
Corresponding Author of This Article
Carlos M Nuño-Guzmán, MD, MSc, Department of General Surgery, Antiguo Hospital Civil de Guadalajara “Fray Antonio Alcalde”, Calle Hospital No. 278. Sector Hidalgo. C.P. 44280, Guadalajara, Jalisco, Mexico. carlosnunoguzman@hotmail.com
Article-Type of This Article
Case Report
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World J Gastrointest Oncol. Jun 15, 2011; 3(6): 103-106 Published online Jun 15, 2011. doi: 10.4251/wjgo.v3.i6.103
Adult intussusception secondary to an ileum hamartoma
Carlos M Nuño-Guzmán, José Arróniz-Jáuregui, Ismael Espejo, Josué Solís-Ugalde, José Ignacio Gómez-Ontiveros, Arturo Vargas-Gerónimo, Jesús Valle-González
Carlos M Nuño-Guzmán, José Arróniz-Jáuregui, José Ignacio Gómez-Ontiveros, Arturo Vargas-Gerónimo, Jesús Valle-González, Department of General Surgery, Antiguo Hospital Civil de Guadalajara “Fray Antonio Alcalde”, Calle Hospital No. 278, Sector Hidalgo. C.P. 44280, Guadalajara, Jalisco, Mexico
Ismael Espejo, Department of Histopathology, Antiguo Hospital Civil de Guadalajara “Fray Antonio Alcalde”, Calle Hospital No. 278, Sector Hidalgo. C.P. 44280 Guadalajara, Jalisco, Mexico
Josué Solís-Ugalde, Department of Radiology, Antiguo Hospital Civil de Guadalajara “Fray Antonio Alcalde”, Calle Hospital No. 278, Sector Hidalgo. C.P. 44280, Guadalajara, Jalisco, Mexico
Author contributions: Nuño-Guzmán CM, Arróniz-Jáuregui J, Espejo I and Solís-Ugalde J supplemented the case report data; Nuño-Guzmán CM, Gómez-Ontiveros JI and Vargas-Gerónimo A analyzed the case data; Nuño-Guzmán CM and Espejo I wrote the document; Nuño-Guzmán CM, Arróniz-Jáuregui J, Gómez-Ontiveros JI, Vargas-Gerónimo A and Valle-González J participated in surgery on the patient.
Correspondence to: Carlos M Nuño-Guzmán, MD, MSc, Department of General Surgery, Antiguo Hospital Civil de Guadalajara “Fray Antonio Alcalde”, Calle Hospital No. 278. Sector Hidalgo. C.P. 44280, Guadalajara, Jalisco, Mexico. carlosnunoguzman@hotmail.com
Telephone: +1-5233-36145501 Fax: +1-5233-36690229
Received: October 15, 2010 Revised: March 12, 2011 Accepted: March 18, 2011 Published online: June 15, 2011
Abstract
Intussusception is a rare condition in the adult population. However, in contrast to its presentation in children, an identifiable etiology is found in the majority of cases. Clinical manifestations of adult intussusception are non-specific and patients may present with acute, intermittent or chronic symptoms, predominantly those of intestinal obstruction. A 27-year-old male patient with recurrent abdominal pain secondary to intussusception is herein reported. The clinical presentation and ultrasonographic findings led to the diagnosis. At laparotomy, an ileal hamartoma was found as the lead point of the intussusception. Surgical management and histopathologic studies are described. A recurrent intestinal obstruction and classic ultrasound findings may lead to the diagnosis of intussusception but surgical exploration remains essential. The principle of resection without reduction is well established.
