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      Synchronous ileal inflammatory fibroid polyp and Meckel’s diverticulum found during laparoscopic surgery for adult intussusception

      case-report

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          Abstract

          We present a rare case of synchronous ileal inflammatory fibroid polyp and Meckel’s diverticulum detected during laparoscopic surgery for adult intussusception. A 48-year-old woman presented with sudden onset of severe abdominal pain. Abdominal computed tomography revealed a segment of ileocecal intussusception. Thus, laparoscopic exploration was performed, which revealed an ileal mass with an outpouching closed luminal structure in the distal ileum. Two abnormal structures were resected via mini-laparotomy, and the patient was discharged without postoperative complications. Histopathological examination confirmed an ileal inflammatory fibroid polyp and Meckel’s diverticulum with ectopic pancreatic tissue.

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          Intussusception in adults: clinical characteristics, diagnosis and operative strategies.

          Savas Yakan, Ali-Galip Denecli, Mustafa Korkut … (2009)
          To evaluate 20 adults with intussusception and to clarify the cause, clinical features, diagnosis, and management of this uncommon entity. A retrospective review of patients aged > 18 years with a diagnosis of intestinal intussusception between 2000 and 2008. Patients with rectal prolapse, prolapse of or around an ostomy and gastroenterostomy intussusception were excluded. There were 20 cases of adult intussusception. Mean age was 47.7 years. Abdominal pain, nausea, and vomiting were the most common symptoms. The majority of intussusceptions were in the small intestine (85%). There were three (15%) cases of colonic intussusception. Enteric intussusception consisted of five jejunojejunal cases, nine ileoileal, and four cases of ileocecal invagination. Among enteric intussusceptions, 14 were secondary to a benign process, and in one of these, the malignant cause was secondary to metastatic lung adenocarcinoma. All colonic lesions were malignant. All cases were treated surgically. Adult intussusception is an unusual and challenging condition and is a preoperative diagnostic problem. Treatment usually requires resection of the involved bowel segment. Reduction can be attempted in small-bowel intussusception if the segment involved is viable or malignancy is not suspected; however, a more careful approach is recommended in colonic intussusception because of a significantly higher coexistence of malignancy.
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            Intussusception due to inflammatory fibroid polyp: a case report and comprehensive literature review.

            Sami Akbulut (2012)
            To give an overview of the literature on intussusception due to inflammatory fibroid polyp (IFP).
            Article 0 comments Cited 40 times – based on 0 reviews     Review now
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              Meckel's diverticulum in the adult

              A. Alves, B Menahem, J. Lequet … (2017)
              Meckel's diverticulum (MD) is the most common gastro-intestinal congenital malformation (approximately 2% in the overall population). The lifetime risk of related complications is estimated at 4%. These include gastro-intestinal bleeding, obstruction or diverticular inflammation. Diagnosis is difficult and rarely made, and imaging, especially in the case of complicated disease, is often not helpful; however exploratory laparoscopy is an important diagnostic tool. The probability of onset of complication decreases with age, and the diagnosis of MD in the adult is therefore often incidental. Resection is indicated in case of complications but remains debatable when MD is found incidentally. According to an analysis of large series in the literature, surgery is not indicated in the absence of risk factors for complications: these include male gender, age younger than 40, diverticulum longer than two centimetres and the presence of macroscopically mucosal alteration noted at surgery. Resection followed by anastomosis seems preferable to wedge resection or tangential mechanical stapling because of the risk of leaving behind abnormal heterotopic mucosa.
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                Author and article information

                Journal
                Journal ID (nlm-ta): Yeungnam Univ J Med
                Journal ID (iso-abbrev): Yeungnam Univ J Med
                Journal ID (publisher-id): YUJM
                Title: Yeungnam University Journal of Medicine
                Publisher: Yeungnam University College of Medicine
                ISSN (Electronic): 2384-0293
                Publication date Collection: July 2020
                Publication date (Electronic): 18 December 2019
                Volume: 37
                Issue: 3
                Pages: 226-229
                Affiliations
                [1 ]Department of Surgery, Yeungnam University College of Medicine, Daegu, Korea
                [2 ]Department of Pathology, Yeungnam University College of Medicine, Daegu, Korea
                Author notes
                Corresponding author: Sung Il Kang Department of Surgery, Yeungnam University College of Medicine, 170 Hyeonchung-ro, Nam-gu, Daegu 42415, Korea  Tel: +82-53-620-3580 Fax: +82-53-624-1213 E-mail: sungiry@ 123456naver.com
                Author information
                http://orcid.org/0000-0002-4751-5779
                http://orcid.org/0000-0002-8350-3038
                Article
                Publisher ID: yujm-2019-00388
                DOI: 10.12701/yujm.2019.00388
                PMC ID: 7384908
                PubMed ID: 31847059
                SO-VID: 62af8358-7964-4e83-8fb2-9eccc080ad61
                Copyright © Copyright © 2020 Yeungnam University College of Medicine
                License:

                This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Date received : 16 August 2019
                Date revision received : 26 November 2019
                Date accepted : 8 December 2019
                Categories
                Subject: Case Report

                Keywords: intestinal obstruction,intestinal polyps,intussusception,meckel diverticulum
                Data availability:
                Keywords: intestinal obstruction, intestinal polyps, intussusception, meckel diverticulum

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