Jejunojejunal intussusception with a leading point lesion

Case contributed by Hamdi Mohamed Isse
Diagnosis almost certain

Presentation

Abdominal pain

Patient Data

Age: 50 years
Gender: Male

There is telescoping of distal jejunal bowel loops.

There is a suspicious, leading soft tissue focal mass involving distal jejunal wall causing luminal narrowing and marked dilatation of proximal small bowel loops and gastric.

Movement blurring noted.

Case Discussion

Intussusception occurs when a loop of the bowel invaginates with another loop of bowel. While this entity usually occurs in children, it may occur in adults, typically from a lead point lesion (most common lesion is a lipoma). CT scan has become the modality of choice when assessing for an acute abdomen in adults.

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