Logo American Journal of Case Reports

Call: 1.631.629.4328
Mon-Fri 10 am - 2 pm EST

Contact Us

Logo American Journal of Case Reports Logo American Journal of Case Reports Logo American Journal of Case Reports

15 January 2020 : Case report  Switzerland

Intussusception in an Immunocompromised Patient: A Case Report and Review of the Literature

Challenging differential diagnosis, Management of emergency care, Rare disease, Clinical situation which can not be reproduced for ethical reasons

Charles-Henri Wassmer1ABCDEF*, Ziad Abbassi1AE, Frédéric Ris1E, Thierry Berney1DE

DOI: 10.12659/AJCR.919974

Am J Case Rep 2020; 21:e919974

Abstract

BACKGROUND: Intussusception in adults (AI) accounts for 1% of all cases of bowel obstruction. While pediatric intussusception is well known and almost always idiopathic, an underlying cause is usually found in adults. Indication for surgical treatment and intussusception reduction before resection remain controversial in AI. Here, we present an uncommon case of an immunocompromised patient who had multiple intussusceptions.

CASE REPORT: A 59-year-old woman, who had received a kidney-pancreas transplant for type 1 diabetes with end-stage renal failure, was admitted to our Intensive Care Unit for septic shock of suspected pulmonary origin. A thoraco-abdominal CT scan demonstrated signs of bilateral pneumonia and multiple abdominal intussusceptions, for which she underwent surgery. Four intestinal intussusceptions were found. Manual desinvagination was performed without bowel resection. After surgery, the patient presented a new bowel obstruction, requiring a second surgery, showing recurrence of 1 intussusception. Segmental resection was indicated, but not performed because of the septic shock, requiring high-dose noradrenalin. The patient progressed toward multi-organ failure, leading to her death a few days later. An autopsy revealed that multiple adenomas were responsible for the intussusceptions.

CONCLUSIONS: This case confirms that AI is rarely a spontaneous disease and that the therapeutic strategy should be planned accordingly. There is currently no systematic approach for AI, and guidelines are needed to improve its management.

Keywords: Immunosuppression, Intussusception, Adenoma, Age Factors, Autopsy, Fatal Outcome, Immunocompromised Host, Immunosuppressive Agents, Multiple Organ Failure, Shock, Septic

Add Comment 0 Comments

In Press

Case report  USA

Impact of Hypoglossal Nerve Stimulation on Nocturnal Asystole in a Patient with Severe Obstructive Sleep Ap...

Am J Case Rep In Press; DOI: 10.12659/AJCR.947160  

Case report  Indonesia

Fatal Progression of Vulvar Cancer in Pregnancy: A Case Report on Delayed Intervention

Am J Case Rep In Press; DOI: 10.12659/AJCR.947567  

Case report  Saudi Arabia

Surgical Outcomes of Right Traumatic Diaphragmatic Rupture with Grade 3 Liver Injury: A Report of 2 Cases

Am J Case Rep In Press; DOI: 10.12659/AJCR.948238  

Case report  China

Incidental Finding of a Primary Polypoid Low-Grade B-Cell Gastric Lymphoma Managed with Chemotherapy

Am J Case Rep In Press; DOI: 10.12659/AJCR.947782  

Most Viewed Current Articles

21 Jun 2024 : Case report  China (mainland) 100,489

Intracranial Parasitic Fetus in a Living Infant: A Case Study with Surgical Intervention and Prognosis Anal...

DOI :10.12659/AJCR.944371

Am J Case Rep 2024; 25:e944371

0:00

07 Mar 2024 : Case report  USA 53,790

Neurocysticercosis Presenting as Migraine in the United States

DOI :10.12659/AJCR.943133

Am J Case Rep 2024; 25:e943133

0:00

20 Nov 2023 : Case report  Saudi Arabia 36,376

Azithromycin Treatment for Acne Vulgaris: A Case Report on the Risk of Clostridioides difficile Infection

DOI :10.12659/AJCR.941424

Am J Case Rep 2023; 24:e941424

0:00

07 Jul 2023 : Case report  Saudi Arabia 25,034

A Classical Case of Cesarean Scar Endometriosis in a 35-Year-Old Woman Presenting with Cyclical Abdominal P...

DOI :10.12659/AJCR.940200

Am J Case Rep 2023; 24:e940200

0:00

Your Privacy

We use cookies to ensure the functionality of our website, to personalize content and advertising, to provide social media features, and to analyze our traffic. If you allow us to do so, we also inform our social media, advertising and analysis partners about your use of our website, You can decise for yourself which categories you you want to deny or allow. Please note that based on your settings not all functionalities of the site are available. View our privacy policy.

American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923