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Ileal intussusception due to a parasite egg: a case report
José Pedro Pinto1, Agostinho Cordeiro1, Ana Margarida Ferreira1
1José Pedro Pinto, Agostinho Cordeiro, Conceição Antunes, Patrícia Botelho, Pedro Leão, Department of General Surgery, Hospital de Braga, 2242 Apartado, Portugal.
World Journal of Gastroenterology
|October 4, 2014
Summary
Ileal intussusception, a rare cause of bowel obstruction in adults, can be triggered by parasitic infections like schistosomiasis. This case highlights the importance of considering unusual etiologies in adult intussusception.
Area of Science:
- Gastroenterology
- Parasitology
- Surgical Pathology
Background:
- Ileal intussusception is rare in adults and often overlooked as a cause of acute bowel obstruction.
- Adult intussusception typically presents with non-specific abdominal pain, making diagnosis challenging.
Observation:
- A 22-year-old male presented with acute abdominal pain, diagnosed with ileal intussusception via imaging.
- Surgical intervention was performed to remove the affected small bowel segment.
Findings:
- Pathological examination revealed a parasite egg, consistent with Schistosoma species, as the lead point for the intussusception.
- This finding suggests schistosomiasis as a potential, albeit uncommon, cause of adult intussusception.
Implications:
- This case broadens the differential diagnosis for adult intussusception, emphasizing the need to consider parasitic infections.
- It highlights that schistosomiasis, a disease prevalent in tropical regions, can manifest in non-endemic areas and cause gastrointestinal complications.
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