Unexpected Etiology of Intussusception in an Adolescent Patient

JPGN Reports · 2 authors, 2 centres

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TL;DR

Initial blood tests showed mild CRP elevation (9.1 mg/L) and a significantly elevated fecal calprotectin (>1000 µg/g).

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Initial blood tests showed mild CRP elevation (9.1 mg/L) and a significantly elevated fecal calprotectin (>1000 µg/g). A computed tomography scan revealed ileocecal intussusception without bowel obstruction. The authors note the rarity of this presentation in adolescents and suggest a diagnostic approach for recurrent abdominal pain that includes ruling out intussusception and its potential malignant causes across all ages.

STUDY TYPE

case_report

SPECIALTY

gastroenterology

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AI pipeline

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ORIGINAL PAPER

PMC10435034

Unexpected Etiology of Intussusception in an Adolescent Patient

JPGN Reports

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ABSTRACT

Intussusception is a common cause of acute and subacute small bowel obstruction in children, young, and older patients; however, despite increasing awareness of the condition and the number of patients diagnosed with it across all ages, its clinical and diagnostic approach remains challenging. A 17-year-old girl attended our gastroenterology outpatient department complaining of a 6-month history of recurrent right iliac fossa pain associated with nausea and vomiting at times with no past medical history of note. Initial blood tests revealed a slightly raised CRP (9.1 mg/L) and a significantly elevated fecal calprotectin (>1000 µg/g). Computed axial tomography scan of the abdomen and pelvis revealed ileocecal intussusception with no evidence of small or large bowel obstruction. On subsequent colonoscopy a 5-cm mass protruding through the ileocecal valve was identified and multiple biopsies were taken for histological analysis, which confirmed a diagnosis of Burkitt’s lymphoma. The lesion was surgically resected and plans for adjuvant chemotherapy were discussed. The learning lessons to take from this case are to widen the list of differential diagnoses of unexplained recurrent abdominal pain to include intussusception and to actively rule it out with an appropriate diagnostic approach that addresses its potential malignant etiology across all ages.

CITATION EXPORT

Yasir Alshareefy, Ali Alshareefy. Unexpected Etiology of Intussusception in an Adolescent Patient. JPGN Reports. (2023). https://doi.org/10.1097/PG9.0000000000000342

AUTHORS

2 · 2 CENTRES

Yasir Alshareefy, Ali Alshareefy

*Trinity College Dublin, The University of Dublin, Dublin, Ireland
†MedCare Hospital, Dubai, United Arab Emirates