An adult case of small bowel intussusception caused by hemangioma presenting with intestinal obstruction: A case report

Introduction:Both small bowel intussusception in adults and small bowel hemangioma are rare benign mass lesions. Moreover, a secondary effect of intussusception caused by hemangioma is extremely rare. Patient concerns:A 87-year-old female suffered from intussusception and intestinal obstruction caused by hemangioma located in the small bowel (February 14, 2020), reporting abdominal distention without nausea and vomiting. Diagnosis:Emergency abdominal and pelvic computed tomography showed an intussusception with the evidence of associated small bowel obstruction. Histological analysis revealed as small intestinal hemangioma accompanied by mesenteric ulcer. Interventions:The patient underwent segmental resection of intussusception of intestine instead of invalid conservative treatment. Outcomes:Although the postoperative pathological results were inconsistent with preoperative imaging examination, the old woman recovered well. Conclusion:The literature on intussusception of small intestine has described several possible causes including hemangioma, which more likely results in gastrointestinal bleeding or abdominal pain. Yet we experienced a rare case presenting as abdominal distention without nausea and vomiting, Therefore, preoperative diagnosis and localization of these lesions is of great importance. We recommend high resolution contrast-enhanced computed tomography and magnetic resonance imaging should be considered in diagnosis while capsule endoscopy is not available owing to the intestinal obstruction, as long as in facilitating surgical excision.

Automated summary

This article reports a rare case of small bowel intussusception and intestinal obstruction caused by hemangioma in an elderly woman, presenting primarily as abdominal distention without nausea and vomiting. Preoperative diagnosis and localization of these lesions are of great importance.