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Intestinal intussusception due to Vanek’s tumour: A rare cause of intestinal obstruction in adults
Invaginación intestinal secundaria a tumor de Vanek: una causa infrecuente de obstrucción intestinal en el adulto
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(A) Axial view: "doughnut" or "target" sign. (B) Coronal view.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Intussusception is a rare cause of intestinal obstruction in adults, with up to 90% of cases being secondary to underlying lesions.<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">We present the case of a 70-year-old woman, with no relevant medical history or previous abdominal surgery, who was admitted due to intestinal obstruction. The CT scan revealed an ileo-ileal intussusception, probably secondary to an underlying lesion, with the characteristic "doughnut" or "target" sign (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). An emergency explorative laparotomy was performed. The intraoperative findings are shown in <a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">After performing a bowel resection of the affected segment, the surgical specimen was sectioned, identifying an intraluminal polypoid lesion as the cause of the intussusception.</p><p id="par0020" class="elsevierStylePara elsevierViewall">Histopathological examination of the specimen was consistent with an inflammatory fibroid polyp (IFP), or Vanek's tumour.</p><p id="par0025" class="elsevierStylePara elsevierViewall">IFP is an extremely rare benign mesenchymal lesion of submucosal origin, most commonly found at the gastric antrum (66–75%), followed by the small intestine (18–20%) and colon/rectum (4–7%). Symptoms depend on the location and size; gastric IFPs are usually asymptomatic, while those in the bowel may cause anaemia, abdominal pain and, very rarely, obstruction due to intussusception.<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a></p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Funding</span><p id="par0030" class="elsevierStylePara elsevierViewall">This study received no specific funding from public, private or non-profit organisations.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Conflicts of interest</span><p id="par0035" class="elsevierStylePara elsevierViewall">The authors declare that they have no conflicts of interest.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:3 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Funding" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Conflicts of interest" ] 2 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:2 [ 0 => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 653 "Ancho" => 1500 "Tamanyo" => 130783 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0035" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Computed tomography image. (A) Axial view: "doughnut" or "target" sign. (B) Coronal view.</p>" ] ] 1 => array:8 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 732 "Ancho" => 1500 "Tamanyo" => 202998 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0040" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Intraoperative findings. (A) Ileo-ileal intussusception. (B) Intraluminal polypoid lesion (inflammatory fibroid polyp or Vanek's tumour) in the sectioned surgical specimen.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:2 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Intussusception of the bowel in adults: a review" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "A. Marinis" 1 => "A. Yiallourou" 2 => "L. Samanides" 3 => "N. Dafnios" 4 => "G. Anastasopoulos" 5 => "I. Vassiliou" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.3748/wjg.15.407" "Revista" => array:7 [ "tituloSerie" => "World J Gastroenterol." "fecha" => "2009" "volumen" => "15" "numero" => "4" "paginaInicial" => "407" "paginaFinal" => "411" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19152443" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Vanek’s tumor of the small bowel in adults" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "B. Abboud" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.3748/wjg.v21.i16.4802" "Revista" => array:7 [ "tituloSerie" => "World J Gastroenterol." "fecha" => "2015" "volumen" => "21" "numero" => "16" "paginaInicial" => "4802" "paginaFinal" => "4808" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25944993" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/24443824/0000004600000007/v2_202311101332/S2444382423001232/v2_202311101332/en/main.assets" "Apartado" => array:4 [ "identificador" => "75461" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images of the month" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/24443824/0000004600000007/v2_202311101332/S2444382423001232/v2_202311101332/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2444382423001232?idApp=UINPBA00004N" ]
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