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Adult intussusception: A case report

Ibrahim Haidaran1, Ahmed I Dhannoon Haidaran2

  • 1Department of Surgery, Cork University Hospital, Cork, Ireland; Royal College of Surgeons in Ireland.

International Journal of Surgery Case Reports
|March 29, 2023
PubMed

Insights

Adult intussusception is rare and often presents with chronic abdominal pain. Computed Tomography (CT) scans are crucial for diagnosis, and surgery remains the primary treatment for unstable patients with bowel obstruction.

Area of Science:

  • Gastroenterology
  • Abdominal Surgery
  • Radiology

Background:

  • Adult intussusception is a rare cause of bowel obstruction, distinct from its pediatric prevalence.
  • It typically necessitates an underlying predisposing factor, such as benign or malignant lesions, or inflammatory bowel disease.

Observation:

  • A case is presented of an adult with recurrent upper abdominal pain, nausea, and vomiting, initially diagnosed with gastritis.
  • Clinical examination revealed peritonism and elevated inflammatory markers.
  • A Computed Tomography (CT) scan identified ileal intussusception with signs of bowel obstruction.

Findings:

  • The patient underwent emergency surgical resection for entero-enteric intussusception.
  • Histopathology did not reveal a specific cause, classifying it as idiopathic.
  • Diagnosis was aided by chronic intermittent abdominal pain history and CT findings.

Implications:

  • This case highlights the diagnostic challenges of adult intussusception.
  • While conservative management is sometimes discussed, surgical intervention is critical for unstable patients presenting with peritonitis.
  • Early diagnosis through clinical history and CT imaging is vital for effective management.
Abstract

Keywords:
Adult intussusceptionBowel obstructionBowel resectionCase reports

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