RESUMO
Adult intussusception occurs infrequently and differs from childhood intussusception in its presentation, etiology, and treatment. Diagnosis can be delayed because of its long-standing, intermittent, and non-specific symptoms and most cases are diagnosed at emergency laparotomy. We report a case of 23-year-old female with complaints of abdominal pain, constipation, and loss of appetite since 2 months. Computed tomography revealed right colonic obstruction caused by intussusception of the ileocecum. On exploration, a mesenteric mass was seen extending with the intussusceptum following, which ileocecal intussusception was found. The mass was excised. Histopathology examination of the specimen revealed an inflammatory myofibroblastic tumor. These tumors can occur throughout the body, most commonly in the lung, mesentery, and omentum. Complete surgical resection is the treatment of choice. A Review of this rare condition is interesting and should be borne on the mind.
RESUMO
Blunt traumatic diaphragmatic ruptures are uncommon yet associated with high mortality. They occur due to blunt or penetrating thoraco-abdominal injury. Diagnosis is often missed, and a high index of suspicion is vital. They may present acutely or delayed as respiratory distress or obstruction. They can be managed through a laparotomy or a thoracotomy and in the present day with minimal access surgery. We report an interesting case of blunt traumatic diaphragmatic hernia in a 48-year-old man presenting after abdomino-thoracic injury due to fall from height. He had herniation of the colon and stomach. Through a left subcostal incision, the herniated organs were reduced, and the diaphragmatic defect closed with prolene suture.