Journal of Yeungnam Medical Science
- Volume 29 Issue 2
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- Pages.110-112
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- 2012
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- 2799-8010(eISSN)
A Case of Small Bowel Intussusception Caused by Jejunal Hamartoma Confused as Hepatitis A in an Adult
성인에서 급성 A형 간염으로 오인된 과오종에 의한 소장 중첩증 1예
- Hur, Joon (Department of Internal Medicine, Cheong Ju St. Mary Hospital) ;
- Cho, Gu-Min (Department of Internal Medicine, Cheong Ju St. Mary Hospital) ;
- Eum, Young Ook (Department of Internal Medicine, Cheong Ju St. Mary Hospital) ;
- Park, Ji Young (Department of Internal Medicine, Cheong Ju St. Mary Hospital) ;
- Kim, Mi Sung (Department of Internal Medicine, Cheong Ju St. Mary Hospital) ;
- Ko, Byung Seong (Department of Internal Medicine, Cheong Ju St. Mary Hospital) ;
- Shin, Hyang Mi (Department of Pathology, Cheong Ju St. Mary Hospital) ;
- Son, Seung-Myoung (Department of Pathology, Chungbuk National University College of Medicine)
- 허준 (청주성모병원 내과) ;
- 조규민 (청주성모병원 내과) ;
- 음영욱 (청주성모병원 내과) ;
- 박지영 (청주성모병원 내과) ;
- 김미성 (청주성모병원 내과) ;
- 고병성 (청주성모병원 내과) ;
- 신향미 (청주성모병원 병리과) ;
- 손승명 (충북대학교 의과대학 병리과학교실)
- Accepted : 2012.06.02
- Published : 2012.12.31
Abstract
Intussusception in adult is a rare disease and laparotomy is usually considered because of the probability of malignancy. Especially with obstruction symptom or sign, it might be needed emergency operation. This case was a simultaneous development of small bowel intussusception and acute hepatitis A. The patient had abdominal pain and vomiting. Intitial laboratory examination with elevated aminotransferase revealed that the diagnosis was acute hepatitis. As managing acute hepatitis, the abdominal pain was not improved and the patient had tenderness on periumbilical area on physical examination. A jejunal intussusception with a lead point was proved on the abdominal computed tomography scan. Fortunately, symptom of intussusception was relieved while nulli per os (NPO) and intravenous hydration. After recovery of acute hepatitis, laparotomy was done. The lead point was