Transient Intussusception Mimicking Acute Coronary Syndrome

Intussusception in adults is rare and usually associated with organic lesions. However, in the current era of computed tomography (CT), cases of idiopathic and transient intussusceptions are being increasingly diagnosed. Herein, we present a case of ileocecal intussusception with symptoms mimicking...

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Main Authors: Hiroshi Imamura, Yuichiro Kashima, Yujiro Hamano, Aoi Ogawara
Format: Article
Language:English
Published: Wiley 2023-01-01
Series:Case Reports in Gastrointestinal Medicine
Online Access:http://dx.doi.org/10.1155/2023/7324188
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author Hiroshi Imamura
Yuichiro Kashima
Yujiro Hamano
Aoi Ogawara
author_facet Hiroshi Imamura
Yuichiro Kashima
Yujiro Hamano
Aoi Ogawara
author_sort Hiroshi Imamura
collection DOAJ
description Intussusception in adults is rare and usually associated with organic lesions. However, in the current era of computed tomography (CT), cases of idiopathic and transient intussusceptions are being increasingly diagnosed. Herein, we present a case of ileocecal intussusception with symptoms mimicking those of acute coronary syndrome. A male patient in his 80s with a history of myocardial infarction presented to the emergency department with acute onset of severe precordial and epigastric pain, cold sweating, and vomiting. Coronary angiography did not reveal any significant new lesion, while abdominal CT revealed ileocecal intussusception without bowel obstruction. The pain spontaneously subsided without any intervention, and the patient was discharged on the sixth hospital day. Cases of intussusception may go unnoticed in patients suspected of having chest pain with a normal coronary arteriogram, as idiopathic intussusception is relatively common and subsides spontaneously. Therefore, physicians should note that intussusception is one of the differential diagnoses of acute coronary syndrome.
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spelling doaj-art-2a5bef4780164ba1bd46e67bcb131e632025-08-20T03:54:37ZengWileyCase Reports in Gastrointestinal Medicine2090-65362023-01-01202310.1155/2023/7324188Transient Intussusception Mimicking Acute Coronary SyndromeHiroshi Imamura0Yuichiro Kashima1Yujiro Hamano2Aoi Ogawara3Department of Emergency and Critical Care MedicineDepartment of Emergency and Critical Care MedicineDepartment of Emergency and Critical Care MedicineDepartment of Emergency and Critical Care MedicineIntussusception in adults is rare and usually associated with organic lesions. However, in the current era of computed tomography (CT), cases of idiopathic and transient intussusceptions are being increasingly diagnosed. Herein, we present a case of ileocecal intussusception with symptoms mimicking those of acute coronary syndrome. A male patient in his 80s with a history of myocardial infarction presented to the emergency department with acute onset of severe precordial and epigastric pain, cold sweating, and vomiting. Coronary angiography did not reveal any significant new lesion, while abdominal CT revealed ileocecal intussusception without bowel obstruction. The pain spontaneously subsided without any intervention, and the patient was discharged on the sixth hospital day. Cases of intussusception may go unnoticed in patients suspected of having chest pain with a normal coronary arteriogram, as idiopathic intussusception is relatively common and subsides spontaneously. Therefore, physicians should note that intussusception is one of the differential diagnoses of acute coronary syndrome.http://dx.doi.org/10.1155/2023/7324188
spellingShingle Hiroshi Imamura
Yuichiro Kashima
Yujiro Hamano
Aoi Ogawara
Transient Intussusception Mimicking Acute Coronary Syndrome
Case Reports in Gastrointestinal Medicine
title Transient Intussusception Mimicking Acute Coronary Syndrome
title_full Transient Intussusception Mimicking Acute Coronary Syndrome
title_fullStr Transient Intussusception Mimicking Acute Coronary Syndrome
title_full_unstemmed Transient Intussusception Mimicking Acute Coronary Syndrome
title_short Transient Intussusception Mimicking Acute Coronary Syndrome
title_sort transient intussusception mimicking acute coronary syndrome
url http://dx.doi.org/10.1155/2023/7324188
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AT yuichirokashima transientintussusceptionmimickingacutecoronarysyndrome
AT yujirohamano transientintussusceptionmimickingacutecoronarysyndrome
AT aoiogawara transientintussusceptionmimickingacutecoronarysyndrome