Invaginatiot okozó malignus jejunum polyp. Egy diagnosztikus kudarc tanulságai.

Translated title of the contribution: Invagination caused by a malignant jejunal polyp--lessons from a diagnostic error

Roland Makay, Péter Banga, Zsolt Pohárnok, A. Oláh

Research output: Contribution to journalArticle

Abstract

Authors reviewed the records of a patient with a 6 year long history of severing abdominal complaints, correct diagnosis came only in the state of acute abdomen for ileus. He underwent numerous radiological exams and gastroscopies in the course of repeated check-ups in other institute. Due to these results his complaints were managed as gastro esophageal reflux. After years of ineffective therapy his parents and physician suggested him to apply for psychiatric treatment. Finally, for the symptoms and radiological results of mechanical upper small bowel obstruction he underwent urgent laparotomy. Approximately a 40 cm long jejunal invagination was found caused by a large jejunal polyp. Segmental small bowel resection was carried out. Histologic examination of the resected specimen proved Grade I. adenocarcinoma. One year after an uneventful postoperative period the patient is free of complaints and symptoms. The differential diagnosis between upper small bowel obstruction and severe vomiting of esophago-gastro-duodenal origin is relatively difficult. For this we recommend utilizing all the recent diagnostic methods in case of hesitancy or ineffective therapy.

Original languageHungarian
Pages (from-to)290-292
Number of pages3
JournalMagyar sebészet
Volume57
Issue number5
Publication statusPublished - 2004

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Polyps
Diagnostic Errors
Gastroscopy
Acute Abdomen
Ileus
Gastroesophageal Reflux
Postoperative Period
Laparotomy
Vomiting
Psychiatry
Adenocarcinoma
Differential Diagnosis
Therapeutics
Parents
Physicians

Cite this

Invaginatiot okozó malignus jejunum polyp. Egy diagnosztikus kudarc tanulságai. / Makay, Roland; Banga, Péter; Pohárnok, Zsolt; Oláh, A.

In: Magyar sebészet, Vol. 57, No. 5, 2004, p. 290-292.

Research output: Contribution to journalArticle

Makay, R, Banga, P, Pohárnok, Z & Oláh, A 2004, 'Invaginatiot okozó malignus jejunum polyp. Egy diagnosztikus kudarc tanulságai.', Magyar sebészet, vol. 57, no. 5, pp. 290-292.
Makay, Roland ; Banga, Péter ; Pohárnok, Zsolt ; Oláh, A. / Invaginatiot okozó malignus jejunum polyp. Egy diagnosztikus kudarc tanulságai. In: Magyar sebészet. 2004 ; Vol. 57, No. 5. pp. 290-292.
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