Intussusception of the small bowel secondary to malignant metastases in two 80-year-old people: a case series.

Journal of Medical Case Reports
Charalambos SpiridisThomas Gerasimidis

Abstract

Small bowel intussusception is rare in adults and accounts for one percent of all bowel obstructions. Malignancy is the etiologic agent in approximately 50 percent of all cases. Our first patient was an 80-year-old Caucasian woman with signs and symptoms of intermittent bowel obstruction for the last 12 months. Pre-operative investigation by abdominal computed tomography scanning revealed an obstruction at the ileocecal valve. Exploratory laparotomy revealed an ileocecal intussusception. She underwent an enterectomy. Histological examination showed metastatic breast cancer (lobular carcinoma). Our patient had previously undergone a mastectomy due to carcinoma three years earlier.Our second patient was an 80-year-old Caucasian man with signs and symptoms of acute bowel obstruction. Pre-operative investigation by abdominal computed tomography scanning showed an intussusception in the proximal part of the small bowel. Exploratory laparotomy revealed a jejunojejunal intussusception. He underwent an enterectomy. Histological examination showed metastatic melanoma. Our patient had a prior history of a primary cutaneous melanoma which was excised two years ago. Pre-operative determination of the etiologic agent of intussusception in t...Continue Reading

References

Feb 1, 1978·Annals of Surgery·R H StewardsonL M Nyhus
Jun 1, 1976·Southern Medical Journal·H L Laws, J S Aldrete
Nov 1, 1991·American Journal of Surgery·G D Branum, H F Seigler
May 1, 1988·Diseases of the Colon and Rectum·M Y RabauY Yossipov
May 1, 1971·American Journal of Surgery·D WeilbaecherW Ogden
Jan 1, 1993·Irish Journal of Medical Science·M O Bashir, G Lynch
Feb 1, 1997·American Journal of Surgery·D G BegosI M Modlin
Apr 25, 2000·The Australian and New Zealand Journal of Surgery·C J Martin, K S Lim
Oct 29, 2000·The American Journal of Gastroenterology·T YokotaH Yamauchi
Jul 9, 2002·Journal of Gastroenterology and Hepatology·D P Hurlstone
Jul 9, 2002·Journal of Gastroenterology and Hepatology

❮ Previous
Next ❯

Citations

Jan 15, 2014·Annals of the Royal College of Surgeons of England·J PottsA El-Hakeem

❮ Previous
Next ❯

Related Concepts

Related Feeds

Breast Invasive Carcinoma

Invasive breast cancers indicate a spread into breast tissues and lymph nodes. Here are the latest discoveries pertaining to breast invasive carcinomas.

Carcinoma, Lobular

Lobular carcinoma is an invasive type of breast cancer in which lobules, areas of the breast that produce milk, undergo malignant transformation. Here is the latest research.

Cancer Imaging

Imaging techniques, including CT and MR, have become essential to tumor detection, diagnosis, and monitoring. Here is the latest research on cancer imaging.

Breast Invasive Carcinoma (Keystone)

Invasive breast cancers indicate a spread into breast tissues and lymph nodes. Here are the latest discoveries pertaining to breast invasive carcinomas.