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Intussusception Caused by Cecal Duplication in an Adult: A Case Report

Eric Bergeron1, Normand Gervais2

  • 1Department of Surgery, Charles-LeMoyne Hospital, Greenfield Park, Canada.

Case Reports in Surgery
|October 20, 2022
PubMed

Insights

A rare case of cecal duplication in a 19-year-old female led to ileocecal intussusception and bowel obstruction. This highlights that cecal lesions, such as duplications, can cause intussusception in adults.

Area of Science:

  • Gastroenterology
  • Pediatric Surgery
  • Surgical Pathology

Background:

  • Cecal duplication is a rare congenital anomaly, typically diagnosed in early childhood.
  • Ileocolic intussusception is uncommon in adults, often presenting with acute abdominal symptoms.

Observation:

  • A 19-year-old female presented with acute abdominal pain and signs of bowel obstruction.
  • Diagnostic imaging and subsequent laparotomy revealed an ileocecal intussusception.

Findings:

  • Surgical intervention identified a cecal duplication cyst as the underlying cause of the intussusception.
  • This co-occurrence of cecal duplication and intussusception in an adult is exceptionally rare.

Implications:

  • This case underscores that any cecal lesion, including duplication cysts, can precipitate intussusception in the adult population.
  • It suggests a need for heightened awareness of rare congenital anomalies in adult patients presenting with intussusception.
  • Further investigation into the mechanical relationship between cecal anomalies and intussusception is warranted.

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