Yeungnam Univ J Med.  2012 Dec;29(2):110-112. 10.12701/yujm.2012.29.2.110.

A Case of Small Bowel Intussusception Caused by Jejunal Hamartoma Confused as Hepatitis A in an Adult

• Hur J
• Cho GM
• Eum YO
• Park JY
• Kim MS
• Ko BS
• Shin HM
• Son SM

• KMID: 2049808
• DOI: http://doi.org/10.12701/yujm.2012.29.2.110

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 2.5x3.0 cm sized hamartoma. This was the case that the symptom of intussusception was confused with that of acute hepatitis.

Keyword

Intussusception; Hamartoma; Hepatitis

MeSH Terms

Abdominal Pain
Adult
Emergencies
Hamartoma
Hepatitis
Hepatitis A
Humans
Intussusception
Laparotomy
Physical Examination
Rare Diseases
Vomiting