Duodenal Intussusception Secondary to a Duodenal Polyp: A Case Report and Literature Review

A 25-year-old male, with no co-morbidities, presented in out-patient department with a complaint of episodic early post-prandial colicky upper abdominal pain for one year associated with vomiting of gastric contents. Contrast-enhanced abdominal CT and upper GI contrast study revealed a polyp in th...

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Bibliographic Details
Main Authors: Mahtab Washdil, Ghina Shamim Shamsi, Syed Ali Naqi, Ihsan Ahmed
Format: Article
Language:English
Published: Liaquat National Hospital and Medical College 2025-02-01
Series:Liaquat National Journal of Primary Care
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Online Access:https://journals.lnh.edu.pk/lnjpc/pdf/4cc919da-5949-474c-ba1b-9cf3a674699a.pdf
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Summary:A 25-year-old male, with no co-morbidities, presented in out-patient department with a complaint of episodic early post-prandial colicky upper abdominal pain for one year associated with vomiting of gastric contents. Contrast-enhanced abdominal CT and upper GI contrast study revealed a polyp in the second part of duodenum (D2) causing intussusception. Wedge resection of that segment was done in addition to polypectomy. The postoperative course was unremarkable. Duodenal intussusception is exceptionally rare and often associated with intestinal malrotation or pre-existing pathologies like tumors. In adults, over 90% of cases result from underlying conditions, with tumors being the leading cause. Proper surveillance is crucial due to their association with tumor predisposition syndromes. Intestinal obstruction secondary to duodenal intussusception due to duodenal polyp is rare. Clinical presentation and management vary amongst patients. It is often diagnosed via CT and upper GI contrast studies. Polypectomy or wedge resection and anastomosis of the involved segment can be undertaken
ISSN:2707-3521
2708-9134