Hamartomatous Polyps - A rare cause of adult intussusception

We describe a case of jejuno jejunal intussusception in a middle aged female secondary to a multiple polyps in the small & large bowel loops which was detected on CT.   Case Submitted by Dr. Chetan (DMRD, DNB resident), Dr. Karunakaran N. (consultant), Department of imaging & interventional radiology, Meenakshi Mission Hospital & Research Centre, Madurai  Case Details  : A 37 year old female presented with complaints of intermittent pain in the epigastric and periumbilical region with significant weight loss for one year with bleeding PR. The physical examination was unremarkable. In Ultrasound abdomen was suggestive of intussusception. Computed tomography of the abdomen showed intussusception with typical target appearance on cross section & sausage shape mass on saggital imaging with a well-defined rounded  polypoid  hypodense mass with smooth margins  at the distal end of intussusceptum.  The diagnosis of enteric intussusception due to pedunculated polyp was made. Polyps were also noted in colon on virtual colonoscopy. Intraoperative findings confirmed radiographic findings.  Multiple jejunojejunal intussusceptions were noted with a 2 cm intraluminal pedunculated polyp acting as the lead point. Colonic polyps along the entire colon were also noted. Jejunal resection and anastomoses with subtotal colectomy & ileo rectal anastomosis was done. Histopathological examination of the resect...
Source: Sumer's Radiology Site - Category: Radiologists Authors: Source Type: blogs