Rare case presentation of intestinal intussusception due to leiomyosarcoma

Abstract

Intussusception is defined as one segment of bowel telescopes into an adjacent bowel segment, which can cause obstruction and even intestinal ischemia. Multiple complications such as intestinal obstruction, intestinal necrosis, and sepsis can occur as result if not treated early. Intussusception is much more common in the pediatric age group and rare in adults.in children it presents with the classic triad of cramping abdominal pain, bloody diarrhea, and a palpable tender mass. In children intussusception mostly likely occurs due to benign causes, whereas in adults cause of intussusception are more likely carcinomas, polyps, diverticulum, strictures, benign neoplasms, or postoperative condition. Most useful diagnostic tools are ultrasonography and computed tomography. We operated a case of adult intussusception due to leiomyosarcoma of small intestine which is even rare. on imaging, ileo-ileal intussusception with dilated proximal bowel loops were found. Exploratory laparotomy done in which large hard polypoidal mass causing ileo-ileal intussusception was found for which ileo-ileal resection & anastomosis done with normal bowel margin of 10 cm on both sides. Patient’s post operative period was uneventful on histopathology, high grade leiomyosarcoma was detected.no clinical or radiological evidence of metastasis found.