International Journal of Case Reports

Vol. 5 (2021): International Journal of Case Reports
Case Reports

A rare case of adult ileo-colic intussusception: Hamartomatous polyp as a lead point with concurrent appendiceal neurofibroma in Neurofibromatosis Type 1

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  • Sena Park, MD1*, Janaka Balasooriya, MBBS MD (Surgery) MRCS1
Sena Park, MD1*, Janaka Balasooriya, MBBS MD (Surgery) MRCS1
1Department of General Surgery, The Canberra Hospital, Yamba Drive, GARRAN, Australian Capital Territory 2605.
DOI: https://doi.org/10.28933/ijcr-2021-01-2505

Keywords

  • Intussusception; Hamartomatous polyp; Neurofibromatosis; Appendiceal neurofibroma

How to Cite

Sena Park, MD1*, Janaka Balasooriya, MBBS MD (Surgery) MRCS1. (2021). A rare case of adult ileo-colic intussusception: Hamartomatous polyp as a lead point with concurrent appendiceal neurofibroma in Neurofibromatosis Type 1. International Journal of Case Reports, 5, 199. https://doi.org/10.28933/ijcr-2021-01-2505
Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Abstract

Intussusception is a rare cause of adult intestinal obstruction and unlike in children, adult intussusception is commonly caused by a lead point, requiring surgical intervention in most cases. Hamartomatous polyp is a non-neoplastic growth of tissue containing mature cells, distributed in an abnormal manner. It is often associated with intestinal polyposis syndromes such as Peutz-Jeghers syndrome and Juvenile polyposis. In the current case, we report an extremely rare case of ileo-colic intussusception secondary to a lead point of an isolated ileal hamartomatous polyp in an elderly gentleman with Neurofibromatosis type-1. Patient was successfully treated with ileo-colic resection involving the intussuscepted segment of bowel. There was an incidental finding of a nodule in the appendix and the histology confirmed this as a neurofibroma. Post-operative recovery of the patient was unremarkable.

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