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KMID : 0371320100790000041
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Journal of the Korean Surgical Society
2010 Volume.79 No. 0 p.41 ~ p.44
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Intussusception in an Adult due to Inverted Meckel’s Diverticulum with Ectopic Pancreatic Tissue
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Jeon Ye-Won
Kye Bong-Hyun
Kim Hyung-Jin
Cho Hyeon-Min
Yoo Chang-Young
Hwang Seong-Su
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Abstract
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Adult intussusception is rare involving of only 1% of the causes of bowel obstruction. We report a case of a 39-year-old female with intussusceptions due to inverted Meckel’s diverticulum. She visited our hospital for diffuse abdominal pain during 1 week and aggravated abdominal pain for 2 days. Vital signs were stable, and there was periumbilical tenderness. She had no history of abdominal operation. CT scan showed a 3.7×2.1 cm of fatty mass with focal intussusception in the distal ileum. When the emergency operation was performed, the patient was found to be suffering from ileocolic intussusception. A manual reduction of intussusception showed inverted Meckel’s deverticulum at 65 cm proximal to the ileocecal valve, and the segmental resection of small bowel including a Meckel’s diverticulum was performed. Pathologic examination revealed a Meckel’s diverticulum containing a 0.6×0.6 cm sized aberrant pancreas.
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KEYWORD
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Intussusception, Meckel diverticulum
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