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A case of adult intussusception associated with Escherichia coli enterocolitis
release_7tnieinr4fegllgy3rjyq6gpv4
by
Ryo Ishihara,
Yasuaki Fujita,
Takashi Mizushima,
Yusuke Kito,
Akihisa Minowa,
Yuta Suzuki,
Kenichi Haneda,
Hironobu Tsukamoto,
Fumihiro Okumura
Published
in Nippon Shokakibyo Gakkai Zasshi
.
2021 Volume 118, Issue 3, p258-263
Abstract
A 38-year-old man visited our hospital with a complaint of diarrhea and abdominal pain. Contrast-enhanced computed tomography showed that the ileocecal site was intussuscepted to the transverse colon without ischemia. After we reduced intussusception with an enema using a water-soluble contrast agent, his abdominal pain disappeared. Colonoscopy was performed immediately after reduction and showed erosion and edema at the ileocecal site without tumor. The stool culture at admission revealed verotoxin 1 producing Escherichia coli O-26;therefore, we established a diagnosis of intussusception associated with Escherichia coli enterocolitis. Bacterial enteritis should be considered as a potential cause in adult patients with intussusception.
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