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A 45 years old male presented with symptoms of bilious vomiting as well as abdominal pain and constipation for more than 2 weeks. He said that he had lost
weight over 3 months and had been thoroughly
investigated for bleeding diarrhoea over the preceding 5 years.Blood tests showed microcytic, hypochromic anaemia.All endoscopies’ result were normal, so we were failing to identify a bleeding source.He had no significant family history. He was an ex-smoker with a 32 pack-year history and a retired engineer living independently.On examination, his observations were stable;
abdominal examination showed distention.CT scan revealed a mass in the small bowel, causing an ileojejunal intussusception.A laparotomy was performed with small bowel resection
around the intussusception.The patient recovered well postoperatively.

Your Edited Email

A 45 year old male presented symptoms of bilious vomiting as well as abdominal pain and constipation for more than 2 weeks. He said that he had been losing
weight for over 3 months and had been thoroughly
tested for bleeding diarrhea over the preceding 5 years. Blood tests showed microcytic, hypochromic anaemia. All endoscopies’ results were normal, so we were failing to identify a bleeding source. He had no significant family history. He was an ex-smoker with a 32 pack-year history and a retired engineer living independently. On examination, his observations were stable;
abdominal examination showed distention. CT scan revealed a mass in the small bowel, causing an ileojejunal intussusception. A laparotomy was performed with small bowel resection
around the intussusception.The patient recovered well postoperatively.