Invaginate Bowel Obstruction Due to Pseudopolip of the Terminal Part of Intenstinal (a Case Report)
Abstract
The rare clinical observation of invagination of the distal part of intenstinal due to pseudopolip is presented. The abilities of the radiology methods (such as enterography, irrigoscopy, sonography and computer tomography) in diagnostic of invaginates have been demonstrated. All the radiology studies (except enterograhy discovered solid formation in projection of ileocecal valve. Invagination was not inconceivable during ultrasonic investigation. The convincing signes of ileum invagination into colon were revealed only in computer tmography. During surgery the cause of intussusception was recognised as colon cancer although according to the date of histological examination pseudopolyps (probably due to the inverted diverticulum) was diagnosed.
About the Authors
Konstantin V. Kushnir
Main Clinical Hospital of the Ministry of Internal Affairs of Russia
Russian Federation
Russian Federation
Ph. D. Med., Head of the Radiological Center
Mikhail N. Aref’ev
Main Clinical Hospital of the Ministry of Internal Affairs of Russia
Russian Federation
Russian Federation
Head of Morbid Anatomy Department
Galina P. Pozharova
Main Clinical Hospital of the Ministry of Internal Affairs of Russia
Russian Federation
Russian Federation
Head of Radiology Department
Anna I. Mirgorodskaja
Main Clinical Hospital of the Ministry of Internal Affairs of Russia
Russian Federation
Russian Federation
Proctologist of Proctology Department
References
1. Gancev Sh. H., Akmalov Ju. M., Ajupov R. T., Kalanova A. P., Parfenov A. Ju., Sulejmanov N. M. Intestinal invagination in adults as omplication of tumoral pathology. Rossijskij
2. onkologicheskij zhurnal. 2009. No. 4. P. 46–48 (in Russian).
3. Clinical surgery. National guidance / V. S. Savel’ev, A. I. Kirienko. V. 1. Moscow, Geotar-Media, 2008. P. 281–283 (in Russian).
4. Kozlova Ju. A., Mumladze R. B., Bulatov N. N., Lebedev S. S., Melkonjan G. G., Olimpiev M. Ju. Computer tomography in diagnostics of intestinal obstruction. Moskovskij hirurgicheskij zhurnal. 2013. No. 5 (33). P. 64–72 (in Russian).
5. Kulikov V. V., Grzhimolovskij А. V. Tumors of a small intestine. Hirurgija. 2008. No. 5. P. 65–69 (in Russian).
6. Lebedev A. P. Invagination of intestines. Minsk: Belarus’, 1969. 237 p. (in Russian).
7. Legostaeva T. B., Klassovskaja N. Ju. Ultrasonic research in diagnostics of colon impassability. Vestnik rentgenologii i radiologii. 2007. No. 4. P. 39–46 (in Russian).
8. Minnullin M. M., Krasil’nikov D. M., Nikolaev Ja. Ju. Diagnostics and surgical treatment in patients with acute intestinal impassability. Prakticheskaja meditsina. 2014. No. 2 (78). P. 46–51 (in Russian).
9. Ol’hova E. B., Allahverdiev I. S., Ionov D. V., Dubrovskij V. S. Intestinal polyp as a cause of recurrent intussusception in children (a clinical observation). Radiologija — praktika. 2014. No. 5 (47). P. 82–87 (in Russian).
10. Smakov G. M., Jektov P. V., Kunickij Ju. L. Benign and malignant tumors of a small intestine. Vrach. 2000. No. 4. P. 23–24 (in Russian).
11. Snegirev I. I., Mironov V. I., Bashlykov D. V. Acute intestinal impassability of non-tumoral genesis: diagnostics and treatment. Sib. med. zhurnal (Irkutsk), 2010. N. 8. P. 163–165 (in Russian).
12. Kirshtein B., Roy-Shapira A., Lantsberg L., Avinoach E., Mizrahi S. Laparoscopic management of acute small bowel obstruction // Surg. Endosc. 2005. V. 19. Р. 464–467.
13. Rea J. D., Lockharet M. E., Yarbrough D. E., Leeth R. R., Bledsoe S. E., Clements R. H. Approach to management of intussusception in adults: a new paradigm in the computed tomography
14. era // Am. Surg. 2007. № 73. P. 98–105.
Review
For citations:
Kushnir K., Aref’ev M., Pozharova G., Mirgorodskaja A. Invaginate Bowel Obstruction Due to Pseudopolip of the Terminal Part of Intenstinal (a Case Report). Radiology - Practice. 2016;(4):63-72. (In Russ.)
Views:
101
Email this article 