Adenomyoma of the Ileum Leading to Intussusception

Overview

Journal Case Rep Gastroenterol

Publisher Karger

Specialty Gastroenterology

Date 2011 Nov 24

PMID 22110422

Citations 2

Authors

Makoto Takeda

Tuyoshi Shoji

Masanori Yamazaki

Yukihiro Higashi

Hirotoshi Maruo

Affiliations

Soon will be listed here.

Abstract

Adenomyoma of the ileum is a rare condition. A 68-year-old Japanese man presented with nausea and distension of the abdomen. Enhanced computed tomography of his abdomen revealed wall thickening in the ileum and dilation of the proximal small intestine. Open laparotomy was performed to find the cause of the patient's small bowel obstruction, and a tumor was found in the ileum, which had resulted in intussusception. The tumor and 20 cm of the adjacent ileum were resected. The resected specimen displayed a macroscopic appearance suggestive of a submucosal tumor. Histopathological evaluation showed duct cell proliferation and bundles of smooth muscle cells from the mucosa to the serosa, leading to a diagnosis of adenomyoma. Immunohistochemical examination found that cytokeratin 7 and carbohydrate antigen 19-9 were expressed in the duct epithelia. We report a rare case of ileal adenomyoma leading to intussusception in an adult and present the immunohistochemical evaluation of the adenomyoma.

Citing Articles

Synchronous adenomyomas of the ileum in an adult-an exceptional cause of intussusception.

Khmou M, Znati K, Zouaidia F, Jahid A, Bernoussi Z, Mahassini N Clin Case Rep. 2015; 3(7):578-81.

PMID: 26273446 PMC: 4527800. DOI: 10.1002/ccr3.290.

Adenomyoma of the small intestine a rare pathological lead point for intussusception in an infant.

Bak Y, Rolle U, Gfroerer S, Fiegel H Springerplus. 2014; 3:616.

PMID: 25392787 PMC: 4210458. DOI: 10.1186/2193-1801-3-616.

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