Duodenojejunal intussusception

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain

Presentation

Abdominal pain.

Patient Data

Age: 50 years
Gender: Female
This study is a stack
Axial C+ portal
venous phase
This study is a stack
Axial C+
delayed
This study is a stack
Coronal C+ portal
venous phase
This study is a stack
Sagittal C+ portal
venous phase
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Info

Long segment intussusception is noted at the distal duodenum and proximal portion of jejunum causing partial obstruction with subsequent proximal dilated duodenum.
A 10 mm simple cortical cyst is noted at right kidney. 
The uterus contains a few small fibroids.

Case Discussion

Intussusception can occur essentially anywhere. In adults, no pattern of distribution is present as such as in the vast majority of cases a lead point lesion is present, and thus the location will depend on the location of that lesion.

This patient underwent reduction surgery and a small (pathology proven) GIST detected as lead point.

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