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Intussusception is affiliated with Henoch-Schonlein purpura, cystic fibrosis, hematologic dyscrasias, postoperative changes, or lead points.
Idiopathic intussusceptions and invaginations with benign lead points are more common in the small bowel, while intussusceptions with malignant lead points (e.g. adenocarcinoma, lymphoma) are more common in the colon [17, 18, 19].
Examples of lead points are Meckel's diverticulum, enlarged mesenteric lymph nodes, benign or malignant tumors, mesenteric cysts, and submucosal hematomas associated with HSP.
The usual treatment of symptomatic intussusceptions with lead points in adults is surgery, with the underlying cause established at pathological examination [18].
The majority of lead points in the small intestine consist of benign lesions, such as benign neoplasms, Meckel's diverticuli, appendix and adhesions.
After Armagh took the lead, points from Sean Kiely and Donncha O'Connor helped Cork regain the lead but sub Mallon's injury-time score levelled and McVerry missed a difficult free which would earned the home side both points.
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Antonio took the lead, pointing out various medicinal plants, hairy tarantulas and bulbous termite nests.
CT scans can distinguish intussusception secondary to a lead point versus no lead point, therefore decreasing the incidence of unnecessary surgery [7].
CECT showed small gut intussusception with worms as lead point.
A pathological lead point was present in 28 patients (75.7%).
A lead point was present in 28 patients (75.7%).
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