Advertisement

Intussusception caused by typhlitis: a rare complication in a patient with acute lymphoblastic leukemia after chemotherapy

  • Ren-Hao ChanEmail author
  • Ya-Ping Chen
Case Report
  • 4 Downloads

Abstract

Introduction

Intussusception, which is common in pediatric patients but rare in adults with leukemia, usually presents with an intralumenal lesion as a lead point in adults.

Case report

We herein report the case of a 38-year-old female who developed right lower quadrant abdominal pain and fever on day 16 of chemotherapy. Abdominal computed tomography showed ileocecal intussusception. The patient underwent surgery, and the definitive pathological diagnosis was typhlitis leading to intussusception. Albeit very rare in adults, typhlitis-induced intussusception should be suspected in those with leukemia presenting with abdominal pain.

Keywords

Acute lymphoblastic leukemia Intussusception Typhlitis 

Notes

Authors’ contributions

RH Chan and YP Chen contributed equally to the study design, collection of data, and the writing of the manuscript.

Compliance with ethical standards

Competing interests

The authors declare that they have no competing interests.

Ethical approval

Ethical approval was obtained and available upon request.

References

  1. 1.
    Hunter TB, Bjelland JC (1984) Gastrointestinal complications of leukemia and its treatment. AJR Am J Roentgenol 142:513–518CrossRefGoogle Scholar
  2. 2.
    Marinis A, Yiallourou A, Samanides L, Dafnios N, Anastasopoulos G, Vassiliou I, Theodosopoulos T (2009) Intussusception of the bowel in adults: a review. World J Gastroenterol 15:407–411CrossRefGoogle Scholar
  3. 3.
    Law MF, Wong CK, Pang CY et al (2015) Rare case of intussusception in an adult with acute myeloid leukemia. World J Gastroenterol 21:688–693CrossRefGoogle Scholar
  4. 4.
    Qasrawi A, Abu Ghanimeh M, Abughanimeh O, Qasem A (2017) Intussusception: a rare complication in a patient with acute leukaemia after consolidation chemotherapy. BMJ Case Rep 28:2017Google Scholar
  5. 5.
    Zubaidi A, Al-Saif F, Silverman R (2006) Adult intussusception: a retrospective review. Dis Colon Rectum 49:1546–1551CrossRefGoogle Scholar
  6. 6.
    Kini S, Amarapurkar A, Balasubramanian M (2012) Small intestinal obstruction with intussusception due to acute myeloid leukemia: a case report. Case Rep Gastrointest Med 2012:425358Google Scholar
  7. 7.
    Shim CS, Kim JO, Cheon YK, Cho JY, Lee JS, Lee MS (2001) A case of chronic lymphocytic leukemia-complicated colonic intussusception. Gastrointest Endosc 54:77–78CrossRefGoogle Scholar
  8. 8.
    Innabi A, Tuqan W, Alawneh A, Saleh A, Alrabi K, Marei L (2016) Ileocolic intussusception in a leukemic adult patient: a case report and review of the literature. Case Rep Surg 2016:3972605Google Scholar
  9. 9.
    Reijnen HA, Joosten HJ, de Boer HH (1989) Diagnosis and treatment of adult intussusception. Am J Surg 158:25–28CrossRefGoogle Scholar
  10. 10.
    Boyle MJ, Arkell LJ, Williams JT (1993) Ultrasonic diagnosis of adult intussusception. Am J Gastroenterol 88:617–618Google Scholar
  11. 11.
    Rodrigues FG, Dasilva G, Wexner SD (2017) Neutropenic enterocolitis. World J Gastroenterol 23:42–47CrossRefGoogle Scholar
  12. 12.
    Ebert EC, Hagspiel KD (2012) Gastrointestinal manifestations of leukemia. J Gastroenterol Hepatol 27:458–463CrossRefGoogle Scholar
  13. 13.
    Nylund CM, Denson LA, Noel JM (2010) Bacterial enteritis as a risk factor for childhood intussusception: a retrospective cohort study. J Pediatr 156:761–765CrossRefGoogle Scholar

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Division of Colorectal Surgery, Department of Surgery, National Cheng Kung University Hospital, College of MedicineNational Cheng Kung UniversityTainan CityTaiwan
  2. 2.Division of Hematology and Oncology, Department of Internal Medicine, National Cheng Kung University Hospital, College of MedicineNational Cheng Kung UniversityTainanTaiwan

Personalised recommendations