Images in Clinical Medicine
Intussusception of the Small Bowel
N Engl J Med 2004; 351:379July 22, 2004
- Article
A 37-year-old man presented to the emergency department with a two-day history of crampy abdominal pain, nausea, and vomiting. On physical examination, his temperature was 37.2°C, and his pulse was 110 beats per minute. The examination revealed a markedly distended abdomen, with moderate tenderness but without guarding or rebound. The patient's white-cell count was 11,300 per cubic millimeter, with 28 percent band forms. Plain-film radiography of the abdomen revealed a partial obstruction of the small bowel. Computed tomographic scanning of the abdomen showed a classic bull's-eye sign, suggesting intussusception of the small bowel (Panel A, arrow). The radiologic diagnosis was confirmed by laparoscopy (Panel B, arrow), and the patient underwent a laparascopic small-bowel resection. His postoperative course was uneventful, and he was discharged on the third postoperative day. Pathological examination revealed only acute inflammatory changes at the lead point of the intussusception, with no evidence of cancer.
Lawrence E. Harrison, M.D.
Steve H. Kim, M.D.
New Jersey Medical School, Newark, NJ 07103- Citing Articles (3)
Citing Articles
1
Gregory J. Keir, Tamera J. Corte. (2011) Pulmonary Hypertension in Interstitial Lung Disease. Clinical Pulmonary Medicine 18:5, 222-229
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Zaid Abassi, Farid Nakhoul, Eliyahu Khankin, Shimon A Reisner, Mordechai Yigla. (2006) Pulmonary hypertension in chronic dialysis patients with arteriovenous fistula: pathogenesis and therapeutic prospective. Current Opinion in Nephrology and Hypertension 15:4, 353-360
CrossRef3
Rajveer S. Purohit, Benjamin M. Yeh, Maxwell V. Meng. (2005) Spontaneous jejunal intussusception after open radical nephrectomy. Urology 66:4, 878-879
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