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Retrograde intussusception through a loop ileostomy: a case report and review of the literature

M A S Khan1, R Price, E P Dewar

  • 1Department of Colorectal Surgery, Airedale General Hospital, Keighley, UK. drmaskhan@gmail.com

Annals of the Royal College of Surgeons of England
|September 21, 2011
PubMed

Insights

Retrograde intussusception through a loop ileostomy is a rare cause of small bowel obstruction. Prompt diagnosis and treatment are crucial to prevent severe complications in affected patients.

Area of Science:

  • Gastroenterology
  • Surgical Case Reports

Background:

  • Intussusception, a telescoping of one intestinal segment into another, is a known surgical emergency.
  • Loop ileostomy, a common surgical diversion, can predispose to intussusception, though rarely.

Observation:

  • A male patient presented with symptoms of small bowel obstruction.
  • Imaging and clinical evaluation revealed retrograde intussusception through the distal limb of a loop ileostomy.

Findings:

  • The case highlights the rare occurrence of retrograde intussusception specifically through the distal limb of a loop ileostomy.
  • A literature review was conducted to contextualize this rare clinical presentation.

Implications:

  • This case underscores the importance of considering intussusception in patients with loop ileostomies presenting with obstruction.
  • Early recognition and intervention are vital for favorable outcomes in this rare condition.

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