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Virtual case of the month
Small intestinal intussusception in an adult
  1. Kenji Takada1,
  2. Nobukazu Fujimoto2,
  3. Taichi Ozeki1,
  4. Jun Nishimura1,
  5. Yosuke Miyamoto3,
  6. Michiko Asano3,
  7. Yasuko Fuchimoto3,
  8. Sae Wada3,
  9. Shinji Ozaki3,
  10. Takuro Igawa4,
  11. Hiroshi Sonobe5,
  12. Takumi Kishimoto1
  1. 1 Department of Medicine, Okayama Rosai Hospital, Okayama, Japan
  2. 2 Department of Medical Oncology, Okayama Rosai Hospital, Okayama, Japan
  3. 3 Department of Respiratory Medicine, Okayama Rosai Hospital, Okayama, Japan
  4. 4 Department of Pathology, Okayama University Hospital, Okayama, Japan
  5. 5 Department of Pathology, Okayama Rosai Hospital, Okayama, Japan
  1. Correspondence to Dr Nobukazu Fujimoto, Department of Medical Oncology, Okayama Rosai Hospital, Okayama 7028055, Japan; nobufujimot{at}gmail.com

https://doi.org/10.1136/jclinpath-2017-204973

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    Clinical question

    A 74-year-old man with a history of occupational asbestos exposure in a shipyard was diagnosed with lymphohistiocytoid mesothelioma (LHM). Systemic chemotherapy consisted of cisplatin, and pemetrexed was administered. After six courses of chemotherapy, multiple tumours had regressed. Six months after chemotherapy, the tumours on the pleura exhibited regrowth and partly invaded the liver. Salvage chemotherapies, including irinotecan and vinorelbine, were administered and his disease was stable for several months. Then he suddenly vomited and complained of abdominal pain. Contrast CT showed small intestine intussusception. Partial resection of the small intestine was performed. We found a tumour in the resected small intestine.

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    Footnotes

    • Handling editor Iskander Chaudhry.

    • Contributors KT, MA and NF treated the patient and drafted the paper. TO, JN, YM, YF, SW and SO contributed to data monitoring, and drafted and revised the paper. TI and HS contributed to pathological examination of the patient. TK approved the final work to be published.

    • Funding This study was funded by the Ministry of Health, Labour and Welfare, Japan.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Commissioned; internally peer reviewed.