Ileo-ileo-colic intussusception in adults: a rare event causing acute intestinal obstruction

Authors

  • Vishnu Pratap Department of General Surgery, Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai, Maharashtra
  • Pallavi Shambhu Department of General Surgery, Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai, Maharashtra
  • Bhushan Kale Department of General Surgery, Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai, Maharashtra
  • S. Prabhakar Department of General Surgery, Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai, Maharashtra

DOI:

https://doi.org/10.18203/2349-2902.isj20191912

Keywords:

Ileo-ileo-colic, Adult intussusception, Acute intestinal obstruction

Abstract

Intussusception is a common finding in children accounting for approximately 25% of all abdominal emergencies in patients below five years of age. This, however, is a rare observation in adults accounting for only 5% of all intussusceptions. Among them, those leading to acute intestinal obstruction are about 1-5%. Diagnosis is based on radiographic findings seen on ultrasonography or CT scan as the presentation in adults is often difficult to diagnose clinically due to the variable presentation. We present here a case of intussusception in a 24 year old male presenting as acute intestinal obstruction. Exploratory laparotomy with resection of the bowel segment was done followed by end to end anastomosis. Post-operative course was uneventful.

 

Metrics

Metrics Loading ...

Author Biography

Vishnu Pratap, Department of General Surgery, Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai, Maharashtra

Department of General Surgery

3rd year Resident 

References

Dener C, Bozoklu S, Bozoklu A, Ozdemir A. Adult intussusception due to a malignant polyp: a case report. Am Surg. 2001;67:351–3.

Carter CR, Morton AL. Adult intussusception in Glasgow, UK. Br J Surg. 1989;76:727.

Donhauser DL, Kelly EC. Intussusception in the adult. Am J Surg.1950;79:673–7.

Dharia KM, Marino AW, Mancini HW. Enterocolic intussusception in adults. Dis Colon Rectum. 1972;15:194–200.

Azar T, Berger DL. Adult intussusception. Annals of Surg. 1997;226:134–8.

Jim Hill. Intestinal Obstruction. Bailey and Love’s Short Practice of Surgery. 27th ed, CRC press; 2018: 1284,

Eisen LK, Cunningham JD, Aufuses AH., Jr Intussusception in adults: institutional review. J Am Coll Surg. 1999;188:390–5.

Gayer G, Zissin R, Apter S, Papa M, Hertz M. Pictorial review: adult intussusception – a CT diagnosis. Br J Radiol. 2002;75:185–90.

Patankar T, Prasad S, Patankar Z, Chaudhry S. Ileo-ileo-colic intussusception secondary to an ileal lipoma. J Assoc Physicians India. 1999;47(9):923-5.

Boyle MJ, Arkell LJ, Williams JT. Ultrasonic diagnosis of adult intussusception. Am J Gastroenterol. 1993;88:617–8. Reinjen HA, Joosten HJ, de Boer HH. Diagnosis and treatment of adult intussusception. Am J Surg. 1989;158:25–8.

Bar-Ziv J, Solomon A. Computed tomography in adult intussusception. Gastrointest Radiol. 1991;16:264–6.

Zubaidi A, Al-Saif F, Silverman R. Adult intussusception: A retrospective review. DCR. 2006;49:1546–51.

Takeuchi K, Tsuzuki Y, Ando T, Sekihara M, Hara T, Kori T, et al. The diagnosis and treatment of adult intussusception. J Clin Gastroenterol. 2003;36:18–21.

Downloads

Published

2019-04-29

How to Cite

Pratap, V., Shambhu, P., Kale, B., & Prabhakar, S. (2019). Ileo-ileo-colic intussusception in adults: a rare event causing acute intestinal obstruction. International Surgery Journal, 6(5), 1796–1799. https://doi.org/10.18203/2349-2902.isj20191912

Issue

Section

Case Reports