DOI: http://dx.doi.org/10.18203/2349-2902.isj20213156

Crohn’s disease triggering ileoileal intussusception in an adult

Praveen Gnanadev, Mukunda N. K., Hariprasad Ramachandra Naidu Taluru, Rohit Krishnappa, Vinayaka N. S., Geethu Damodaran, Suhas G.

Abstract


Intussusception is defined as the telescoping of a segment of the gastrointestinal tract (intussusceptum) into an immediately adjacent distal bowel (intussuscipiens), causing venous congestion, edema, and blood supply reduction. Adult intussusception is a rare entity which can be with or without lead-point. Cases without lead-point frequently occurs in children or adults with celiac disease and Crohn’s disease and with lead point is caused by an underlying neoplasm, benign or malignant frequently presenting with bowel obstruction and acute abdomen. A 41-years-old male presented to our outpatient clinic with a history of recurrent abdominal pain. The clinical presentation and CT scan findings led to the diagnosis of ileoileal intussusception. Subsequently he underwent laparotomy which revealed an ileal intussusception, which was investigated and was found to be of Crohn’s etiology.


Keywords


Intussusception, Bowel obstruction, Crohn’s disease

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References


Tomassetti FEM, Lorenzo RN, Arteaga GI, Carrillo PA. Ileoileal intussusception as initial manifestation of Crohn's disease. Mcgill J Med. 2006;9(1):34-7.

Zubaidi A, Saif F, Silverman R. Adult intussusception: a retrospective review. Dis Colon Rectum. 2006;49(10):1546-51.

Laws HL, Aldrete JS. Small-bowel obstruction: a review of 465 cases. South Med J. 1976;69(6):733-4.

Mehmet T, Huseyin CA, Erkan IY, Ercan K. Ileocecal Intussusception due to a Lipoma in an Adult. Case Report Surg. 2012;68429:4.

Hunter J. On introsusception. Trans Soc Improv. Med Knowl. 2020;72:52-5.

Jiang J, Jiang B, Parashar U, Nguyen T, Bines J, Patel MM. Childhood intussusception: a literature review. PLoS One. 2013;8(7):68482.

Blair SG, Quang CY, Simmons JD, Grimm LM, Rider PF, Richards WO. Intussusception in patients with Crohn’s Disease: Is resection always mandated?. Clinical Surg. 2017;2:1417.

Potts J, Al Samaraee A, El-Hakeem A. Small bowel intussusception in adults. Ann R Coll Surg Engl. 2014;96(1):11-4.

Azar T, Berger DL. Adult intussusception. Ann Surg. 1997;226(2):134-8.

Samaiya A, Deo SS, Thulkar S, Hazarika S, Kumar S, Parida DK, et al. An unusual presentation of a malignant jejunal tumor and a different management strategy. World J Surg Oncol. 2005;3(1):3.

Lianos G, Xeropotamos N, Bali C, Baltoggiannis G, Ignatiadou E. Adult bowel intussusception: presentation, location, etiology, diagnosis and treatment. G Chir. 2013;34(9):280-3.

Stor Z, Hanzel J. Ileal leiomyosarcoma presenting with intussusception. J Surg Case Rep. 2019;2019(2):52.

Marsicovetere P, Ivatury SJ, White B, Holubar SD. Intestinal Intussusception: Etiology, Diagnosis, and Treatment. Clin Colon Rectal Surg. 2017;30(1):30-9.

Han SL, Cheng J, Zhou HZ, Guo SC, Jia ZR, Wang PF. Surgically treated primary malignant tumor of small bowel: a clinical analysis. World J Gastroenterol. 2010;16(12):1527-32.

Chiang JM, Lin YS. Tumor spectrum of adult intussusception. J Surg Oncol. 2008;98(6):444-7.