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KMID : 0370920120290020110
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Yeungnam Univercity Journal of Medicine
2012 Volume.29 No. 2 p.110 ~ p.112
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A Case of Small Bowel Intussusception Caused by Jejunal Hamartoma Confused as Hepatitis A in an Adult
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Hur Joon
Cho Gu-Min
Eum Young-Ook
Park Ji-Young
Kim Mi-Sung
Ko Byung-Seong
Shin Hyang-Mi
Son Seung-Myoung
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Abstract
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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 2.5×3.0 cm sized hamartom
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KEYWORD
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Intussusception, Hamartoma, Hepatitis
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