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December 9-10, 2019 | Barcelona, Spain
Journal of Orthopaedics Trauma Surgery
and Related Research
ARTHRITIS AND RHEUMATOLOGY
ANATOMY AND PHYSIOLOGY
13
th
International Conference on
3
rd
International Conference on
&
J Orthop Trauma Surg Rel Res, ISSN: 1897-2276
Rheumatology Congress 2019 & Anatomy and Physiology 2019
December 09-10, 2019
Volume 14
Cadaveric case reports on intussusception: From the DR to application in the ER
Statement
: The use of anatomical dissections inmedical training, remain a highly debated and controversial topic. Observational
and diagnostic skills are extremely important tomedical students fromday one. Pathology (cause of death, variants or secondary’s)
are often seen in the Dissection Room (DR) of Anatomy Departments.
Methodology
: Two male cadavers of mixed race, originating from the Western Cape area in South Africa, were dissected in
Windhoek and are discussed in this study. Both of them died of “natural causes” according to their death certificates. Both were
embalmed through the right common carotid artery, before dissection commenced. Cadaver one (45/14) was certified as 61
years old and cadaver two (10/17) 43 years. During routine abdominal dissection with medical students, I noticed an abnormal
invagination at lower end of the ileum.
Findings/Discussion
: On further investigation, a case of Intussusception (with a lead point), was identified in cadaver one.
Students were allowed to observe and discuss the case before a section of the gut was removed for histology. This was their first
clinical case experience which they could discuss in detail. With cadaver two, Intussusception of the lower ileumwas diagnosed,
but without a “lead point”. Intussusception is when part of the gut loses its ability for peristalsis and the gut (with peristaltic
movement) envelopes the stationary section. Lead points are not always present. A variety of diseases causes altered motility
of the gut wall, which can lead to intussusception. In our first case the “lead point” and cause of the intussusception, was an
adenocarcinoma.
Conclusion
: Intussusception of the ileum are very rarely seen. If however left untreated, it could lead to obstruction, necrosis of
the gut and eventually reconstructive surgery will follow in order to save the patient.
Biography
Jan H T Smit has more than forty years’ experience in training at Tertiary Institutions. He started his career in SouthAfrica where he worked at
three different Universities. He moved to Northern Ireland in 2002 where he taught at Queens University in Belfast. He has been in Namibia
for the past six years as Head of the Department of Anatomy. He has a passion for teaching Anatomy and has published widely on the
subject.
jsmit@unam.naJan H T Smit
University of Namibia, Namibia