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Case Reports in Medicine
Volume 2013, Article ID 292961, 4 pages
http://dx.doi.org/10.1155/2013/292961
Case Report

Telescoping Intestine in an Adult

1Department of Hospital Medicine, Institute of Medicine, Cleveland Clinic, Cleveland, OH 44195, USA
2Department of Pulmonary, Critical Care and Environmental Medicine, Tulane University Health Sciences Center, New Orleans, LA 70118, USA
3Department of Medicine, Case Western Reserve University St. Vincent Charity Medical Center, Cleveland, OH 44115, USA

Received 24 January 2013; Accepted 20 June 2013

Academic Editor: Gerald S. Supinski

Copyright © 2013 Khaldoon Shaheen et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Protrusion of a bowel segment into another (intussusception) produces severe abdominal pain and culminates in intestinal obstruction. In adults, intestinal obstruction due to intussusception is relatively rare phenomenon, as it accounts for minority of intestinal obstructions in this population demographic. Organic lesion is usually identifiable as the cause of adult intussusceptions, neoplasms account for the majority. Therefore, surgical resection without reduction is almost always necessary and is advocated as the best treatment of adult intussusception. Here, we describe a rare case of a 44-year-old male with a diffuse large B-cell lymphoma involving the terminal ileum, which had caused ileocolic intussusception and subsequently developed intestinal obstruction requiring surgical intervention. This case emphasizes the importance of recognizing intussusception as the initial presentation for bowel malignancy.