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Voluminous Intussusception Involving the Whole Midgut in a Teenager: A Unique Differentiation from Abdominal Cocoon

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Journal of Gastrointestinal Surgery

Abstract

Introduction

Intussusception is one of the most frequent complications of Peutz–Jeghers syndrome which has been well described before.

Case Report

Herein, a voluminous intussusception with almost the whole midgut involved in a 13-year-old girl is reported, the radiological presentation was so similar with that of abdominal cocoon that she was initially misdiagnosed accordingly. After the laparotomy confirmation, a careful review was taken on the patient’s CT images, a few clues for differentiation were found but proved obscure and an overriding premise for identification is just to take the diagnosis of intussusception into consideration.

Conclusion

Based mainly on our experience, clinicians should be aware of voluminous intussusception as a unique differentiation of abdominal cocoon and consider it in each case of voluminous abdominal mass.

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Conflicts of Interest

There were no commercial or proprietary interests in any drug, device or equipment mentioned in the submitted article and institutional review board approval was received.

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Authors and Affiliations

  1. Department of Pediatric surgery, Shengjing Hospital, China Medical University, 36 SanHao Street, Heping District, Shenyang, Liaoning, 110004, People’s Republic of China

    Lulu Li & Shucheng Zhang

Authors
  1. Lulu Li
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  2. Shucheng Zhang
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Corresponding author

Correspondence to Shucheng Zhang.

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Li, L., Zhang, S. Voluminous Intussusception Involving the Whole Midgut in a Teenager: A Unique Differentiation from Abdominal Cocoon. J Gastrointest Surg 15, 1654–1657 (2011). https://doi.org/10.1007/s11605-011-1544-4

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  • DOI: https://doi.org/10.1007/s11605-011-1544-4

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