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Adult ileocolic intussusception secondary to ileocaecal valve polyp

Saqib Zeeshan Chugthai1, Abdul Hakeem Atif, Jehan Zeb Chughtai

  • 1Letterkenny General Hospital, Surgery, 135 Foxhills, Letterkenny, County Donegal, Ireland.

BMJ Case Reports
|January 14, 2012
PubMed

Insights

Adult intussusception is rare but presents differently than in children. Diagnosis can be challenging due to non-specific symptoms, but imaging and considering it for intermittent abdominal pain are key.

Area of Science:

  • Gastroenterology
  • Abdominal Surgery

Background:

  • Intussusception is common in children but rare in adults.
  • Adult intussusception etiology, presentation, and management differ significantly from pediatric cases.
  • Preoperative diagnosis in adults is often difficult due to non-specific, intermittent symptoms.

Purpose of the Study:

  • To highlight the diagnostic challenges and clinical considerations of adult intussusception.
  • To present a case of adult ileocolic intussusception with classic findings.
  • To emphasize the importance of considering intussusception in adults with intermittent abdominal pain and obstruction signs.

Main Methods:

  • Case report presentation.
  • Review of clinical presentation, radiological findings (ultrasound, CT), and operative findings.
  • Discussion of differential diagnosis and management strategies for adult intussusception.

Main Results:

  • The case demonstrated classical radiological and operative signs of ileocolic intussusception in an adult.
  • Imaging modalities like ultrasound and CT were crucial for diagnosis.
  • The condition presented with intermittent abdominal pain and signs of bowel obstruction.

Conclusions:

  • Adult intussusception requires a high index of suspicion, especially with intermittent abdominal pain and obstruction.
  • Diagnostic workup should include imaging to identify intussusception.
  • Prompt diagnosis and surgical intervention are crucial for managing adult intussusception.

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