ABSTRACT
Intussusception in adults is rare. The clinical picture of intussusception in adults is subtle and the diagnosis is, therefore, elusive. The presence of a structural abnormality in the great majority of the adult cases mandates high clinical suspicion. Gastrointestinal lipomas are rare benign tumors and intussusception due to a gastrointestinal lipoma constitutes an infrequent clinical entity. The present report describes a case of jejunojejunal intussusception in an adult with a history of severe episodes of hematochezia and colicky upper abdominal pain. The diagnosis was suspected preoperatively but computed tomography scan could not rule out malignancy. Exploratory laparotomy revealed jejunojejunal intussusception secondary to a lipoma which was successfully treated with segmental intestinal resection.
Subject(s)
Intussusception/etiology , Jejunal Diseases/etiology , Jejunal Neoplasms/complications , Lipoma/complications , Abdominal Pain/etiology , Digestive System Surgical Procedures , Gastrointestinal Hemorrhage/etiology , Humans , Intussusception/surgery , Jejunal Diseases/surgery , Jejunal Neoplasms/surgery , Lipoma/surgery , Male , Middle Aged , Treatment OutcomeABSTRACT
Acute pretreatment tumor lysis syndrome is a rare complication of cancer. Early recognition and aggressive management are mandatory for prevention of the adverse sequelae of the syndrome. Here we present 2 cases of pretreatment tumor lysis syndrome, concluding that this clinical entity should be in the differential diagnosis of acute renal failure associated with malignancy, as early recognition is in fact the mainstay of treatment.
