Where Suspicion Bore Fruit- An Unusual Cause Of Abdominal Pain In A 46-Year-Old Man
نویسندگان
چکیده
Abdominal pain is a common presenting complaint among adult patients presenting to the emergency department. Triage to medical versus surgical management is crucial for improved outcome. Here, we present the case of a 46-year-old man who presented with subacute onset of migratory abdominal pain, nausea, vomiting and hematochezia. Abdominal x-ray was normal but a CT scan revealed intussusception of the ileum into the transverse colon. He was treated with an emergency right hemicolectomy with side-to-side ileocolic anastomosis. Histopathology of the resected bowel revealed transmural inflammation but no cancer. We also review published literature on the epidemiology, manifestations, diagnosis and management of ileocolic intussusception in adults.
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