Abstract
A 62-year-old woman, with renal failure and consciousness disturbance, underwent an operation for intestinal obstruction. However, no obstructive lesion was found. The cause of consciousness disturbance was found to be glyphosate poisoning. Toxic symptoms improved with medical therapy. One month later, radiological enteroclysis and CT showed intestinal intussusception. Decompression using an ileal tube was attempted, but was not successful. Therefore, the patient had surgery again. An intussusception of the small intestine, at 80 cm to 230 cm from the ligament of Treiz, was found. Between the serous surfaces of the entering and emerging wall of the intussusceptum, marked edema and adhesions were noted. We performed strictureplasty to the oral end after it had been shrunken as much as possible, and resected the anal end. She was discharged after surgery without recurrence of intussusception. To our knowledge, no other adult intussusception cases have been reported after glyphosate poisoning. Therefore, it must be extremely rare in Japan.
