Telescoping into Adulthood: A Case Report of Intussusception in an Adult Patient.

Intussusception is a familiar diagnosis among the pediatric population; however, it is rarely considered among the adult population due to a myriad of life-threatening pathologies within the abdomen. We present an adult female who presented to the emergency department (ED) with abdominal pain and constipation. Laboratory testing and a computed tomography (CT) scan of the abdomen were ordered. Laboratory test results were notable for an elevated lymphocyte count as well as leukocyte esterase, white blood cells (WBC), and bacteria seen on urinalysis. The computed tomography scan detected a colo-colic intussusception secondary to a benign mass within the bowel lumen. The mass was surgically resected and the patient had an uneventful postoperative course. This unique case represents the occurrence of a pathology to which the adult population is not immune, and therefore should not be overlooked when evaluating a non-specific case of abdominal pain. Topics: Intussusception, colo-colic, obstruction, abdominal pain, constipation, female, mass, bowel, lymphocyte, ultrasound, computed tomography.

Case Report: Not Your Typical Kidney Stone.

The patient is a 66-year-old male, with a history of kidney stones, who presents to the emergency department complaining of dull, right-sided flank pain radiating to the right testicle that began one hour prior to arrival. The patient had a computed tomography (CT) of the abdomen and pelvis without contrast, which demonstrated a right renal calculus with forniceal rupture. This case represents a rare complication of a typical Emergency Department complaint; therefore, clinicians should be aware of its clinical relevance. Topics: Flank pain, forniceal rupture, renal colic, CT scan.

Bilateral Common Iliac Artery Aneurysm, a Case Report.

Patient is a 72-year-old male who presented with abdominal pain and hypertension. Through bedside point-of-care ultrasound (POCUS), patient was found to have markedly enlarged bilateral iliac artery aneurysms with signs of impending rupture, which was confirmed on computed tomography (CT) angiogram of the abdomen/pelvis. Patient was immediately taken to the operating room for emergent repair of aneurysm, and was discharged from the hospital the next day. Point-of-care ultrasound is critical in diagnosis and guiding treatment in patients in the emergency department and should be considered in those with undifferentiated abdominal pain. Topics: Abdominal pain, iliac artery aneurysm, point-of-care ultrasound.