Editor's quiz
ANSWER
| The first 150 words of the full text of this article appear below. |
From the question on page 750
This patient had intussusception due to small bowel metastases from his non-small cell lung carcinoma, resulting in intestinal obstruction.
Figure 1A of the question shows the presence of a transmural enhancing nodule in the left dilated small bowel and another polypoidal enhancing lesion causing intussusception at the mid-pelvic region.
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Figure 1 Intraoperative findings revealed multiple tumour nodules in the small bowel, with the distal most nodule (wiggly black arrow) causing intussuception (black arrow) and proximal intestinal obstruction (white arrow).
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Figure 1B of the question shows evidence of mass effect in the jejunum, with the intussuscepted bowel and its mesenteric fat within the intussusceptum.
The patient underwent a laparotomy, which revealed multiple nodules in the small intestines, causing intussuception and intestinal obstruction (fig 1). The histology of the nodules was consistent with a carcinoma from a lung primary.
The diagnosis of intussusception is clinically challenging
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Gut 2009 58: 750.[Extract] [Full Text] [PDF]
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