Lulu Li1, Shucheng Zhang. 1. Department of Pediatric surgery, Shengjing Hospital, China Medical University, 36 SanHao Street, Heping District, Shenyang, Liaoning, 110004, People's Republic of China.
Abstract
INTRODUCTION: Intussusception is one of the most frequent complications of Peutz-Jeghers syndrome which has been well described before. CASE REPORT: Herein, a voluminous intussusception with almost the whole midgut involved in a 13-year-old girl is reported, the radiological presentation was so similar with that of abdominal cocoon that she was initially misdiagnosed accordingly. After the laparotomy confirmation, a careful review was taken on the patient's CT images, a few clues for differentiation were found but proved obscure and an overriding premise for identification is just to take the diagnosis of intussusception into consideration. CONCLUSION: Based mainly on our experience, clinicians should be aware of voluminous intussusception as a unique differentiation of abdominal cocoon and consider it in each case of voluminous abdominal mass.
INTRODUCTION: Intussusception is one of the most frequent complications of Peutz-Jeghers syndrome which has been well described before. CASE REPORT: Herein, a voluminous intussusception with almost the whole midgut involved in a 13-year-old girl is reported, the radiological presentation was so similar with that of abdominal cocoon that she was initially misdiagnosed accordingly. After the laparotomy confirmation, a careful review was taken on the patient's CT images, a few clues for differentiation were found but proved obscure and an overriding premise for identification is just to take the diagnosis of intussusception into consideration. CONCLUSION: Based mainly on our experience, clinicians should be aware of voluminous intussusception as a unique differentiation of abdominal cocoon and consider it in each case of voluminous abdominal mass.
Authors: M G F van Lier; E M H Mathus-Vliegen; A Wagner; M E van Leerdam; E J Kuipers Journal: Am J Gastroenterol Date: 2010-12-14 Impact factor: 10.864
Authors: M Térébus Loock; J Lubrano; C Courivaud; C Bresson Vautrin; B Kastler; E Delabrousse Journal: Clin Radiol Date: 2010-09-15 Impact factor: 2.350