A case series of adult intussusception diagnosed by ultrasound in South India: an uncommon notion


  • D. Vinoth Department of General Surgery, PSG Institute of Medical Sciences and Research, Coimbatore, Tamil Nadu, India
  • S. Rajeshkumar Department of General Surgery, PSG Institute of Medical Sciences and Research, Coimbatore, Tamil Nadu, India
  • Sheik Asik Abu Sali Department of General Surgery, PSG Institute of Medical Sciences and Research, Coimbatore, Tamil Nadu, India




Adult, Intussusception, Ultrasound, Diagnosis


Intussusception is the telescoping of one segment of the gastrointestinal tract into an adjacent one. Adult intussusception is less than 0.1% of all hospital admissions. Non-specific symptoms often delay the diagnosis with most cases diagnosed only after emergency laparotomy, hence the need for imaging as a screening investigation. The gold standard is computed tomography with the limitations of cost, radiation and contrast hazards. Our suggested initial screening tool is ultrasound. the aim of this study was to evaluate the sensitivity of ultrasound in diagnosing this rare entity. Thirteen patients (2013 to 2019) in a single tertiary care hospital diagnosed as “intussusception” were analysed. They were initially diagnosed by ultrasound and confirmed by CT or intra-op as needed. There were no exclusion criteria. The mean age was 50. There were 6 males and 7 females. Ultrasound sensitivity was 72%. Symptoms were variable. 100% had abdominal pain (1 day to 2 years duration). 69% had Intestinal obstruction. The most common type of adult intussusception observed was ileo-ileal (39%). The least common noted was gastro-jejunal (8%). The most common treatment was resection and anastomosis (77%). 3 cases were managed conservatively successfully. The biopsy was mostly benign (54%), 3 were malignant (23%) and 3 were unknown as they were not operated (23%). Our suggested initial screening is ultrasound with a fairly good sensitivity (72%). The upcoming improvement in technology can raise this sensitivity even further. The management protocols, biopsy findings, and clinical findings are however subjected to discretion.

Author Biography

D. Vinoth, Department of General Surgery, PSG Institute of Medical Sciences and Research, Coimbatore, Tamil Nadu, India

Dept of General Surgery, Junior Resident


Gayer G. Intussusception in adults: CT diagnosis. Clin Radiol. 1998;53:53-7.

Gordon RS. Intussusception in adults: a rare disease. J Emerg Med. 1991;9:337-42.

Wang LT, Wu CC, Yu JC, Hsiao CW, Hsu CC, Jao SW. Clinical entity and treatment strategies for adult intussusceptions: 20 years’ experience. Dis Colon Rectum. 2007;50:1941-9.

Azar T, Berger DL. Adult intussusception. Ann Surg. 1997;226:134-8.

Brayton D, Norris WJ. Intussusception in adults. Am J Surg. 1954;88:32-43.

Kim YH. Adult intestinal intussusception: CT appearances and identification of a causative lead point. Radiographics. 2006;26:733-44.

Suhaibani YA, Mohamed A, Bhat N, Abukhater M. Adult Intussusception, a Rare Cause of Intestinal Obstruction, Case Report and Literature Review. Int J Surg. 2009;24:2.

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

Yakan S, Caliskan C, Makay O, Denecli AG, Korkut MA. Intussusception in adults: clinical characteristics, diagnosis and operative strategies. World J Gastroenterol. 2009;15:1985-9.

Barbette P. Ouevres Chirurgiques at Anatomiques. Geneva: Francois Miege; 1674.

Hutchinson J. A successful case of abdominal section for intussusception. Proc R Med Chir Soc. 1873;7:195-8.

Nesbakken A, Haffner J. Colo recto anal intussusception: case report. Acta Chir Scand. 1989;155:201-4.

Wiot JF, Spitz HB. Small bowel intussusception demonstrated by oral barium. Radiology. 1970;97:361-6.

Begos DG, Sandor A, Modlin IM. The diagnosis and management of adult intussusception. Am J Surg. 1997;73:88-94.

Rafailidis V. A case of adult intussusception with greyscale, contrast enhanced ultrasound and computerised tomography correlation. Ultrasound. 2017;25(2):120-5.

Stubenord WT, Thorblamarson B. Intussusception in adults. Ann Surg. 1970;172:306-10.

Lin F, Setya V, Signor W. Gastro duodenal intussusception secondary to a gastric lipoma: a case report and review of literature. Am Surg. 1992;58:772-4.

Weilbaecher D, Bolin JA, Hearn D. Intussusception in adults: review of 160 cases. Am J Surg. 1971;121:531-5.






Case Series