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Small bowel intussusception

Case contributed by Mais Ghassan Zmaily
Diagnosis certain

Presentation

This 40-year-old female patient with a history of multiple myeloma presented to the ER complaining of vomiting for 3 days duration.

Patient Data

Age: 40
Gender: Female
ct

Intussusception of a jejunojejunal loop, with an enhancing internal leading point. Dilated proximal bowel and collapsed distal loops. Right iliac fossa partial intussusception with ileal invagination into the cecum.

Multiple enhancing pelvic masses.

Left lower abdomen enhancing soft tissue mass invading the left mid ureter with a proximal mild dilatation.

Adrenal nodules in the body of the right gland and the lateral limb of the left gland.

Diffuse destructive skeletal bone lesions with multiple soft tissue components, the largest seen in the left gluteal region and measuring 6.3 cm.

Case Discussion

A 40-year-old female patient came to the ER complaining of vomiting of 3 days duration increasing in severity. 

An abdominal CT was undertaken and subsequently, both partial and complete segments of intussusception were diagnosed. 

The patient went through surgery, the partial intussusception was reduced, and the complete intussusception was resected with small bowel anastomosis.

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