Uncovering the Hidden Threat: Ileocolic Intussusception in an Adult With Appendicular Tumor

Intussusception in adults is a rare condition, often associated with an underlying pathological lead point. This case report describes a case of intussusception in a 37-year-old female patient with an unusual lead point: an appendicular mucinous neoplasm. This case highlights the clinical presentation, diagnostic process, and management of adult intussusception caused by an appendicular neoplasm. The patient underwent a right hemicolectomy, with ileo-transverse anastomosis. The lead point was a low-grade appendiceal mucinous neoplasm (LAMN) without any intraoperative spillage. No signs of recurrence were seen till the last follow-up visit. Surgical intervention with appropriate resection of the lead point remains the treatment of choice, with histopathological analysis crucial for further management, in any adult intussusception.

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Publication Details

Journal
Cureus
Published
2024-10-31
DOI
https://doi.org/10.7759/cureus.72809
Primary Topic
Gastrointestinal disorders and treatments
Type
article
Field-Weighted Citation Impact
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article

Uncovering the Hidden Threat: Ileocolic Intussusception in an Adult With Appendicular Tumor

Abhijit Kundu, Shishir Kumar, Khushboo Jha, Kaushik Saha et al.
Cureus
Gastrointestinal disorders and treatments
article

Uncovering the Hidden Threat: Ileocolic Intussusception in an Adult With Appendicular Tumor

Abhijit Kundu, Shishir Kumar, Khushboo Jha, Kaushik Saha, Mrunal Panchal
article en

Abstract

Intussusception in adults is a rare condition, often associated with an underlying pathological lead point. This case report describes a case of intussusception in a 37-year-old female patient with an unusual lead point: an appendicular mucinous neoplasm. This case highlights the clinical presentation, diagnostic process, and management of adult intussusception caused by an appendicular neoplasm. The patient underwent a right hemicolectomy, with ileo-transverse anastomosis. The lead point was a low-grade appendiceal mucinous neoplasm (LAMN) without any intraoperative spillage. No signs of recurrence were seen till the last follow-up visit. Surgical intervention with appropriate resection of the lead point remains the treatment of choice, with histopathological analysis crucial for further management, in any adult intussusception.

CureusVol. 16(10)
Manipal College of Medical Sciences (NP), Tata Main Hospital (IN)
Zero hunger
Openalex Percentile: Top 63%
Gastrointestinal disorders and treatments
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