Sistema gastrointestinal y digestivo

Abstracto

Case Report of Adult Intussusception

Feysel Hassen Issack

Adult Intussusception (AI) is a rare entity and differs from childhood intussusception in its presentation, etiology, and treatment. It accounts for 1/30,000 of all hospital admissions, 1/1300 of all abdominal operations, 1/30-1/100 of all cases operated for intestinal obstruction and one case of AI for every 20 childhood ones. The case was a 49 years old male patient admitted to our hospital with crampy abdominal pain and vomiting of 14 hrs duration. Plain abdominal X-ray showed features of Small bowel obstruction and at laparotomy gangrenous ileo-ileo-colic intussusception starting at 8 cm proximal to ileocecal valve and multiple lymph nodes in the mesentery of distal ileum, was found. Resection and end to end anastomosis of the ileum was done and histopathology result of the mesenteric lymph nodes is pending. This was the first case of adult small bowel intussusception in our hospital.