Transient Intussusception Mimicking Acute Coronary Syndrome

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  • Hiroshi Imamura
    Department of Emergency and Critical Care Medicine, Shinshu University, Matsumoto, Japan
  • Yuichiro Kashima
    Department of Emergency and Critical Care Medicine, Shinshu University, Matsumoto, Japan
  • Yujiro Hamano
    Department of Emergency and Critical Care Medicine, Shinshu University, Matsumoto, Japan
  • Aoi Ogawara
    Department of Emergency and Critical Care Medicine, Shinshu University, Matsumoto, Japan
  • Daniel C. Damin
    editor

書誌事項

公開日
2023-10-09
資源種別
journal article
権利情報
  • https://creativecommons.org/licenses/by/4.0/
DOI
  • 10.1155/2023/7324188
公開者
Wiley

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説明

<jats:p>Intussusception in adults is rare and usually associated with organic lesions. However, in the current era of computed tomography (CT), cases of idiopathic and transient intussusceptions are being increasingly diagnosed. Herein, we present a case of ileocecal intussusception with symptoms mimicking those of acute coronary syndrome. A male patient in his 80s with a history of myocardial infarction presented to the emergency department with acute onset of severe precordial and epigastric pain, cold sweating, and vomiting. Coronary angiography did not reveal any significant new lesion, while abdominal CT revealed ileocecal intussusception without bowel obstruction. The pain spontaneously subsided without any intervention, and the patient was discharged on the sixth hospital day. Cases of intussusception may go unnoticed in patients suspected of having chest pain with a normal coronary arteriogram, as idiopathic intussusception is relatively common and subsides spontaneously. Therefore, physicians should note that intussusception is one of the differential diagnoses of acute coronary syndrome.</jats:p>

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