Intussusception secondary to inflammatory myofibroblastic tumor of the small intestine. Case report

Introduction: Intussusception occurs when part of the intestine slides into an adjacent intestinal segment. Inflammatory myofibroblast tumor is a rare cause of this condition, and is observed in 5% -16% cases in adults. Case presentation: A 41-year-old woman presented with abdominal pain and diste...

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Main Authors: David Yépez-Yépez, Lúver Macías-Jara, Betsy Macías-Jara
Format: Article
Language:English
Published: Universidad Nacional de Colombia 2019-01-01
Series:Case Reports
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Online Access:https://revistas.unal.edu.co/index.php/care/article/view/75350
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author David Yépez-Yépez
Lúver Macías-Jara
Betsy Macías-Jara
author_facet David Yépez-Yépez
Lúver Macías-Jara
Betsy Macías-Jara
author_sort David Yépez-Yépez
collection DOAJ
description Introduction: Intussusception occurs when part of the intestine slides into an adjacent intestinal segment. Inflammatory myofibroblast tumor is a rare cause of this condition, and is observed in 5% -16% cases in adults. Case presentation: A 41-year-old woman presented with abdominal pain and distension. A exploratory laparoscopy was performed, finding ileocolic intussusception into the transverse colon. Due to uncontrollable bleeding, the procedure was converted to laparotomy; resection and latero-lateral ileocolic anastomosis were performed. Histopathology reported inflammatory myofibroblastic tumor, with a favorable postoperative evolution. The patient was discharged on the sixth postoperative day. Discussion: When located in the small intestine, 57% of the tumors that cause intussusception are benign, including the myofibroblastic tumor in this patient. The symptoms and signs associated with this neoplasm are cramp-like abdominal pain, nausea and vomiting. Although imaging studies may lead to suspect this diagnosis, in most cases it is made intraoperatively. Surgical resection of the affected intestinal segment is curative, with favorable prognosis. Conclusions: This case is considered as a rare cause of intussusception. It had a benign course and is still under study since its pathophysiology has not been fully understood.
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language English
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spelling doaj-art-5ce8be6f15d9491ca75ed0162623d94a2025-08-20T01:52:42ZengUniversidad Nacional de ColombiaCase Reports2462-85222019-01-015110.15446/cr.v5n1.7535050176Intussusception secondary to inflammatory myofibroblastic tumor of the small intestine. Case reportDavid Yépez-Yépezhttps://orcid.org/0000-0002-4019-3260Lúver Macías-Jarahttps://orcid.org/0000-0003-3714-5492Betsy Macías-Jarahttps://orcid.org/0000-0003-0146-9575 Introduction: Intussusception occurs when part of the intestine slides into an adjacent intestinal segment. Inflammatory myofibroblast tumor is a rare cause of this condition, and is observed in 5% -16% cases in adults. Case presentation: A 41-year-old woman presented with abdominal pain and distension. A exploratory laparoscopy was performed, finding ileocolic intussusception into the transverse colon. Due to uncontrollable bleeding, the procedure was converted to laparotomy; resection and latero-lateral ileocolic anastomosis were performed. Histopathology reported inflammatory myofibroblastic tumor, with a favorable postoperative evolution. The patient was discharged on the sixth postoperative day. Discussion: When located in the small intestine, 57% of the tumors that cause intussusception are benign, including the myofibroblastic tumor in this patient. The symptoms and signs associated with this neoplasm are cramp-like abdominal pain, nausea and vomiting. Although imaging studies may lead to suspect this diagnosis, in most cases it is made intraoperatively. Surgical resection of the affected intestinal segment is curative, with favorable prognosis. Conclusions: This case is considered as a rare cause of intussusception. It had a benign course and is still under study since its pathophysiology has not been fully understood. https://revistas.unal.edu.co/index.php/care/article/view/75350IntussusceptionIntestinal ObstructionIntestinal Neoplasm.
spellingShingle David Yépez-Yépez
Lúver Macías-Jara
Betsy Macías-Jara
Intussusception secondary to inflammatory myofibroblastic tumor of the small intestine. Case report
Case Reports
Intussusception
Intestinal Obstruction
Intestinal Neoplasm.
title Intussusception secondary to inflammatory myofibroblastic tumor of the small intestine. Case report
title_full Intussusception secondary to inflammatory myofibroblastic tumor of the small intestine. Case report
title_fullStr Intussusception secondary to inflammatory myofibroblastic tumor of the small intestine. Case report
title_full_unstemmed Intussusception secondary to inflammatory myofibroblastic tumor of the small intestine. Case report
title_short Intussusception secondary to inflammatory myofibroblastic tumor of the small intestine. Case report
title_sort intussusception secondary to inflammatory myofibroblastic tumor of the small intestine case report
topic Intussusception
Intestinal Obstruction
Intestinal Neoplasm.
url https://revistas.unal.edu.co/index.php/care/article/view/75350
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AT betsymaciasjara intussusceptionsecondarytoinflammatorymyofibroblastictumorofthesmallintestinecasereport