Adult duodenal intussusception with horizontal adenoma: A rare case report  

作　　者：Kun-Peng Wang Hao Jiang Can Kong Lie-Zhi Wang Guo-Yu Wang Jing-Gang Mo Chong Jin 

机构地区：[1]Department of General Surgery,Taizhou Central Hospital(Taizhou University Hospital),Taizhou 318000,Zhejiang Province,China [2]Department of Radiology,Taizhou Central Hospital(Taizhou University Hospital),Taizhou 318000,Zhejiang Province,China

出　　处：《World Journal of Clinical Cases》2020年第15期3314-3319,共6页世界临床病例杂志

基　　金：Supported by Project of Taizhou Science and Technology Department,No.1701KY36;Project of Taizhou University,No.2018PY057;Project of Taizhou Central Hospital,No.2019KT003.

摘　　要：BACKGROUND Adult duodenal intussusception rarely occurs,and the majority of duodenal adenomas are located in the descending part of the duodenum.Therefore,adenomas in the horizontal part of the duodenum presenting as duodenal intussusception in adults are extremely rare.CASE SUMMARY A 36-year-old man complained of abdominal pain for 13 d.Blood analysis showed anemia.Magnetic resonance cholangiopancreatography and computed tomography revealed a tumor in the horizontal part of the duodenum as the main finding,leading to duodeno-duodenal intussusception.No obvious abnormalities were found on endoscopy or upper gastrointestinal radiography.He was diagnosed with duodenal intussusception secondary to duodenal adenoma.Laparotomy showed duodeno-duodenal intussusception and a tumor in the horizontal part of the duodenum near the ascending part.Postoperative pathology revealed tubular-villous adenoma with low-grade glandular intraepithelial neoplasia(local high-grade intraepithelial neoplasia).He was discharged without complications.CONCLUSION This case highlights that rational use of computed tomography,magnetic resonance cholangiopancreatography,endoscopy and upper gastrointestinal radiography for preoperative diagnosis and timely surgery is an effective strategy for the treatment of adult duodenal intussusception with duodenal masses.

关 键 词：Adult duodenal intussusception Duodenal adenoma Horizontal part of the duodenum Intestinal obstruction Case report 

分 类 号：R574.51[医药卫生—消化系统]