International journal of surgery case reports · 2025
A case report of jejunal myeloid sarcoma presented with intestinal intussusception in a 19-year-old man: An uncommon presentation of a rare disease.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Ahmadinejad Mojtaba, Shakerpour Alireza, Azarimanesh Pegah, Mansourian Babak, Ahmadinejad Yasmina, Bagherpour Javad Zebarjadi
Аннотация
INTRODUCTION: Intussusception is a rare condition in adults, with an adult-to-pediatric incidence ratio of approximately 1:20. Unlike pediatric cases, adult intussusception is almost always secondary to an underlying pathological lesion. Myeloid sarcoma is an uncommon extramedullary manifestation of acute myeloid leukemia and represents a rare cause of gastrointestinal involvement.
CASE PRESENTATION: We report the case of a 19-year-old male who presented to the emergency department with acute abdominal pain and signs of intestinal obstruction. Abdominal computed tomography revealed jejunal intussusception. An exploratory laparotomy was performed, during which a necrotic lesion was identified on the jejunal wall, along with three additional lesions on the intestinal wall. A frozen section biopsy suggested differential diagnoses, including gastrointestinal stromal tumor (GIST) and intestinal lymphoma. The lesion causing the intussusception was resected with clear margins, while the remaining lesions were left in situ based on intraoperative pathology. Postoperative histopathological analysis confirmed the diagnosis of jejunal myeloid sarcoma. The patient was subsequently re-admitted for resection and re-anastomosis of the remaining lesions and was referred to the oncology department.
CLINICAL DISCUSSION: Adult intussusception is often misdiagnosed due to its rarity and nonspecific presentation. In most cases, it is caused by an underlying lesion, which necessitates thorough intraoperative evaluation and appropriate surgical management. Myeloid sarcoma involving the gastrointestinal tract is exceptionally rare and may mimic other neoplastic conditions.
CONCLUSION: This case highlights the importance of considering rare hematologic malignancies such as myeloid sarcoma in young adults presenting with intussusception.
CASE PRESENTATION: We report the case of a 19-year-old male who presented to the emergency department with acute abdominal pain and signs of intestinal obstruction. Abdominal computed tomography revealed jejunal intussusception. An exploratory laparotomy was performed, during which a necrotic lesion was identified on the jejunal wall, along with three additional lesions on the intestinal wall. A frozen section biopsy suggested differential diagnoses, including gastrointestinal stromal tumor (GIST) and intestinal lymphoma. The lesion causing the intussusception was resected with clear margins, while the remaining lesions were left in situ based on intraoperative pathology. Postoperative histopathological analysis confirmed the diagnosis of jejunal myeloid sarcoma. The patient was subsequently re-admitted for resection and re-anastomosis of the remaining lesions and was referred to the oncology department.
CLINICAL DISCUSSION: Adult intussusception is often misdiagnosed due to its rarity and nonspecific presentation. In most cases, it is caused by an underlying lesion, which necessitates thorough intraoperative evaluation and appropriate surgical management. Myeloid sarcoma involving the gastrointestinal tract is exceptionally rare and may mimic other neoplastic conditions.
CONCLUSION: This case highlights the importance of considering rare hematologic malignancies such as myeloid sarcoma in young adults presenting with intussusception.