Adult Ileocolic Intussusception in a Patient With Cystic Fibrosis: Diagnostic Role of Point-of-Care Ultrasound 'Case...

Area of Science:

• Medicine
• Gastroenterology
• Radiology

Background:

• Cystic fibrosis (CF) is a multi-system disorder impacting multiple organ systems.
• Pancreatic insufficiency in CF patients can lead to gastrointestinal issues, including constipation and impaired intestinal motility.
• These GI complications predispose CF patients to intestinal obstruction and intussusception.

Purpose of the Study:

• To report a case of intussusception in an adult male with cystic fibrosis.
• To highlight the diagnostic utility of point-of-care ultrasound (POCUS) in identifying intussusception.
• To emphasize the importance of clinical vigilance in managing multi-systemic diseases like CF.

Main Methods:

• Case report of a 25-year-old male with CF presenting with abdominal pain and constipation.
• Diagnosis of intussusception confirmed using point-of-care ultrasound (POCUS).
• Review of clinical presentation, diagnostic findings, and management considerations.

Main Results:

• The patient, a 25-year-old male with CF, presented with symptoms of abdominal pain and constipation.
• Point-of-care ultrasound (POCUS) successfully identified the classical sonographic features of intussusception.
• Early diagnosis facilitated timely management.

Conclusions:

• Clinical vigilance is crucial when managing patients with multi-systemic diseases such as CF, who may present with atypical symptoms.
• Point-of-care ultrasound (POCUS) is a valuable tool for the early diagnosis of intussusception, even in adult patients.
• While ultrasound is highly sensitive in pediatric populations, further research is needed to confirm its utility in adults; CT scans are valuable for assessing complications.