Small bowel intussusception in an adult, a rare surgical emergency. Case report and literature review

Authors

DOI:

https://doi.org/10.56294/saludcyt2023540

Keywords:

Surgery, Oncologic Surgery, Cancer, Intestinal Obstruction, Intussusception

Abstract

Intussusception or intussusception in the adult corresponds to a rare etiology of intestinal obstruction representing only 0,08 % of abdominal surgeries in the world, unlike its presentation in childhood most of these have an underlying organic cause. We present the case of a 55-year-old middle-aged woman with no underlying pathology who presented with repetitive symptoms of intestinal pseudo-occlusion. With the help of imaging studies, the site of obstruction was visualized and she underwent exploratory laparotomy where small bowel invagination was evidenced due to a tumorous process, resection and anastomosis were performed with a rapid recovery and then small bowel adenocarcinoma was confirmed. In conclusion, we must take into account that this rare pathology could occur in patients with signs of occlusion not so clear in order to offer an effective and timely surgical treatment

References

1. Álvarez-Bautista FE, Moctezuma-Velázquez P, Pimienta-Ibarra AS, Vergara-Fernández O, Salgado-Nesme N. Adult intussusception: still a challenging diagnosis for the surgeon. Revista de Gastroenterología de México (English Edition) 2022. https://doi.org/10.1016/j.rgmxen.2022.06.009.

2. Erkan N, Haciyanli M, Yildirim M, Sayhan H, Vardar E, Polat AF. Intussusception in adults: an unusual and challenging condition for surgeons. Int J Colorectal Dis 2005;20:452-6. https://doi.org/10.1007/s00384-004-0713-2.

3. Tarchouli M, Ait Ali A. Adult Intussusception: An Uncommon Condition and Challenging Management. Visc Med 2021;37:120-7. https://doi.org/10.1159/000507380.

4. Ciftci F. Diagnosis and treatment of intestinal intussusception in adults: a rare experience for surgeons. Int J Clin Exp Med 2015;8:10001-5.

5. Marinis A, Yiallourou A, Samanides L, Dafnios N, Anastasopoulos G, Vassiliou I, et al. Intussusception of the bowel in adults: a review. World J Gastroenterol 2009;15:407-11. https://doi.org/10.3748/wjg.15.407.

6. Gupta V, Doley RP, Subramanya Bharathy KG, Yadav TD, Joshi K, Kalra N, et al. Adult intussusception in Northern India. Int J Surg 2011;9:297-301. https://doi.org/10.1016/j.ijsu.2011.01.004.

7. Potts J, Al Samaraee A, El-Hakeem A. Small bowel intussusception in adults. Ann R Coll Surg Engl 2014;96:11-4. https://doi.org/10.1308/003588414X13824511650579.

8. Gayer G, Zissin R, Apter S, Papa M, Hertz M. Pictorial review: adult intussusception--a CT diagnosis. Br J Radiol 2002;75:185-90. https://doi.org/10.1259/bjr.75.890.750185.

9. Amr MA, Polites SF, Alzghari M, Onkendi EO, Grotz TE, Zielinski MD. Intussusception in adults and the role of evolving computed tomography technology. Am J Surg 2015;209:580-3. https://doi.org/10.1016/j.amjsurg.2014.10.019.

10. Kim JW, Lee BH, Park SG, Kim BC, Lee S, Lee S-J. Factors predicting malignancy in adult intussusception: An experience in university-affiliated hospitals. Asian J Surg 2018;41:92-7. https://doi.org/10.1016/j.asjsur.2016.11.010.

11. Greenley CT, Ahmed B, Friedman L, Deitte L, Awad ZT. Laparoscopic Management of Sigmoidorectal Intussusception. JSLS 2010;14:137-9. https://doi.org/10.4293/108680810X12674612015184

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Published

2023-09-15

How to Cite

1.
Montes Lainez HD, Cabrera Espinoza JC, Alberca Bonilla SS, Quinteros Morán MA, González Palacios VA, Ramírez Moya GM, et al. Small bowel intussusception in an adult, a rare surgical emergency. Case report and literature review. Salud, Ciencia y Tecnología [Internet]. 2023 Sep. 15 [cited 2025 Apr. 15];3:540. Available from: https://sct.ageditor.ar/index.php/sct/article/view/351