European Journal of Biomedical and Pharmaceutical Sciences

ADULT IDIOPATHIC INTUSSUSCEPTION: A RARE CASE REPORT

Dr. Sachin Tribhuwan, Dr. Amongla Imchen*, Dr. Sreejith V., Dr. Keisham Lokendra Singh, Prof. G. S. Moirangthem

ABSTRACT

Idiopathic intussusception is a rare condition in adults and accounts for less than 0.1% of all adult hospital admissions. Adult intussusception as a cause of intestinal obstruction is seen only in 1-2% of all cases of bowel obstruction. In view of its non specific presentation, it is very difficult to diagnose such lesion. We herein report a case of young male patient presenting to the emergency department with features of small bowel obstruction associated with pain abdomen and vomiting. In view of features suggestive of peritonitis, the patient was subjected to emergency laparatomy and diagnosis of ileo-ileal intussusception with gangrenous changes of the involved segment was made. Resection of the involved segment with end to end anastomosis was performed. Histopathological (HPE) examination of resected specimen showed inflammatory infiltrate with areas of necrosis. We also highlight clinical presentation, types and treatment modalities available in the literature.

Keywords: adult idiopathic intussusception, bowel obstruction, segmental resection.