Case Report
Volume 9 Issue 8 - 2022
Intussusception: A Rare Cause of Acute Abdomen in the Adult
Dabeluchi Chiedozie Ngwu1,2 and Nicholas A Kerna3,4*
1Cardiovascular and Thoracic Surgery Unit, Department of Surgery, Federal Medical Center, Umuahia, Nigeria
2Earthwide Surgical Missions, Nigeria
3Independent Global Medical Research Consortium, Thailand
4First InterHealth Group, Thailand
*Corresponding Author: Nicholas A Kerna, (mailing address) POB47 Phatphong, Suriwongse Road, Bangkok, Thailand 10500.
Received: August 16, 2022; Published: August 30, 2022




Abstract

Introduction: An Intussusception occurs when a segment of the bowel invaginates into its adjacent part. This condition occurs more frequently in children, particularly younger children, than adults. These invaginated bowel segments are the most common cause of pediatric bowel obstruction. There is one case of adult intussusceptions for every 20 childhood cases. Adult intussusceptions account for about 5% of all intussusceptions.

Case Report: Here is the case of an older man who presented with acute abdominal pain of ten days duration. The diagnosis of intussusceptions was initially missed until it was suggested by an abdominal ultrasonogram and confirmed at laparotomy. An uneventful post-operative recovery followed primary resection and anastomosis of the involved gut.

Discussion: Most intussusceptions arising from the small bowel are due to benign lesions. Malignant lesions are more common in the large bowel. A benign ileal polyp caused the index patient’s intussusception. However, previous health care providers initially misunderstood the actual condition, and specific and timely treatment was not identified and applied; bowel gangrene ensued. After an accurate diagnosis and appropriate surgical intervention, the index patient experienced a full recovery.

Conclusion: There is a need for primary care physicians and surgeons to maintain a high index of suspicion in this regard so that the rare case of adult intussusceptions can be diagnosed and treated early, leading to the best possible outcome.

Keywords: Abdominal Pain; Bowel Restriction; Enteroenteric; Intestinal Gangrene; Tachycardia

References

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Citation: Dabeluchi Chiedozie Ngwu and Nicholas A Kerna. “Intussusception: A Rare Cause of Acute Abdomen in the Adult”. EC Gastroenterology and Digestive System 9.8 (2022): 27-33.

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