Abstract
A 38-year-old woman presented at Orotta National Referral Hospital emergency department in May 2017 with pain in the epigastric region and vomiting. Physical examination revealed no pertinent findings. Blood and urine tests were normal, and erect abdominal x-ray revealed a distended small intestine with multiple layers of "air-fluid levels". CT scan and MRI were not done due to their temporary unavailability. During laparotomy a large mass of 20x20 cm in size was detected in the mid-jejunum of the small intestine. This leading tumor caused intussusception and coiling of the small intestine. As there are no typical symptoms of intussusception, it is very important to do CT scan for patients with long-standing abdominal pain and vomiting to achieve a definitive diagnosis of intussusception.
Highlights
A 38-year-old woman presented at Orotta National Referral Hospital emergency department in May 2017 with pain in the epigastric region and vomiting
In this paper we present a patient with intussusception with nonspecific symptoms who presented to Orotta National Referral Hospital, and emphasize the importance of early CT scan for quick and definitive diagnosis
The preoperative diagnosis of intussusception remains challenging as the patients usually have nonspecific symptoms during their presentation to medical facilities11
Summary
The majority of patients come to hospital with abdominal pain and vomiting9. In this paper we present a patient with intussusception with nonspecific symptoms who presented to Orotta National Referral Hospital, and emphasize the importance of early CT scan for quick and definitive diagnosis. Case report Presentation A 38-year-old female patient presented to Orotta National Referral Hospital, Asmara, Eritrea, in May 2017 with abdominal pain and vomiting of 3-month duration.
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