Total colorectal and terminal ileal duplication presenting as intussusception and intestinal obstruction

• Published in: World journal of gastroenterology : WJG 2012-11, Vol.18 (43), p.6338-6340
• Main Author: Ho, Yuen Chi
• Format: Article
• Language: English
• Subjects: Abdomen, Acute - etiology; Adult; Case Report; Colon - diagnostic imaging; Colon - pathology; Colon - surgery; CT扫描仪; Humans; Ileum - diagnostic imaging; Ileum - pathology; Ileum - surgery; Intestinal Diseases - complications; Intestinal Diseases - diagnosis; Intestinal Diseases - surgery; Intestinal Obstruction - diagnosis; Intestinal Obstruction - etiology; Intestinal Obstruction - surgery; Intussusception - diagnosis; Intussusception - etiology; Intussusception - surgery; Male; Predictive Value of Tests; Rectum - diagnostic imaging; Rectum - pathology; Rectum - surgery; Tomography, X-Ray Computed; 回肠; 结直肠癌; 肠套叠; 肠梗阻; 计算机断层扫描; 诊断工具; 非特异性
• ISSN: 1007-9327; 2219-2840
• DOI: 10.3748/wjg.v18.i43.6338

Colonic intussusception and gastrointestinal duplication are diseases that arise in young children. The clinical presentation of adult cases of intussusception and enteric duplication is non-specific and thus poses a diagnostic challenge. A computed tomography （CT） scan is recommended in adult cases as the most sensitive diagnostic tool and the pathognomonic finding of outer intussuscepiens and central intussusceptum is diagnostic. A septum of a duplicated colon in a non-intussuscepted segment has been rarely reported in the literature. With advancements in radiological imaging technology and the increased availability of CT scanners, the capacity for a correct pre-operative diagnosis has been significantly enhanced. Our current case report illustrates the importance of considering an uncommon etiology for enteric intussusception and duplication as a differential diagnosis of acute abdomen in an adult patient. Our analyses of this patient also highlight the successful use of CT scanning to make this diagnosis.