A rare case of idiopathic ileocolic intussusception in an adult

Authors

  • Muniba Mehmood Department of surgery, Dr. Ruth K. M. Pfau Civil Hospital, Karachi, Pakistan
  • Uzair Yaqoob Jinnah Postgraduate medical Centre
  • Khaled Abdullah Rage Department of surgery, Dow University of Health Sciences, Karachi, Pakistan
  • Hina Khan Department of Surgery, Dr. Ruth K. M. Pfau Civil Hospital, Karachi, Pakistan
  • Mujeeb Rehman Abbasi Department of Surgery, Dow University of Health Sciences, Karachi, Pakistan
  • Khursheed Ahmed Samo Department of Surgery, Dr. Ruth K. M. Pfau Civil Hospital, Karachi, Pakistan

DOI:

https://doi.org/10.15386/mpr-1847

Keywords:

digestive system, surgical procedure, intestinal invagination, intussusception

Abstract

Intussusception is an invagination of one segment of the bowel into its adjoining segment. In children, the cause is usually benign, while in adults it is secondary to a mass lesion. Here we present a case in which the preoperative diagnosis of intussusception secondary to colonic mass was made, but no definitive cause was identified by histopathology. A 30-year-old male presented with abdominal pain, altered bowel habits, weight loss, loose motions, bleeding per rectum, and vomiting. The abdomen was distended, firm, mildly tender, and guarded. A vague mass of 15 x 10 cm was palpated on the left upper quadrant. X-ray and ultrasound showed dilated small bowel. A computed tomography scan suggested ileoileal intussusception. Colonoscopy showed a growth at 15 cm of the anal verge. Exploratory laparotomy was performed, showing the presence of ileocolic intussusception with two large perforations. Subtotal colectomy with ileostomy was done. The histopathological examination showed signs of perforation.

Author Biography

Uzair Yaqoob, Jinnah Postgraduate medical Centre

Surgery

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Published

2021-10-30

How to Cite

1.
Mehmood M, Yaqoob U, Rage KA, Khan H, Abbasi MR, Samo KA. A rare case of idiopathic ileocolic intussusception in an adult. Med Pharm Rep [Internet]. 2021 Oct. 30 [cited 2025 Jul. 14];94(4):516-20. Available from: https://medpharmareports.com/index.php/mpr/article/view/1847

Issue

Section

Case Report