IDIOPATHIC INTUSSUSCEPTION IN AN ADULT - A RARE CASE REVIEW.

Abstract

Abstract :
Intussusception of the bowel is defined
as the telescoping of a proximal segment
of the gastrointestinal tract within the lumen
of the adjacent segment. This condition
is frequent in children and presents
with the classic triad of cramping abdominal
pain, bloody diarrhea and a palpable
tender mass. However, bowel intussusception
in adults is considered a
rare condition, accounting for 5 of all
cases of intussusceptions and almost 1-5
of bowel obstruction. Primary( idiopathic)
intussusception is common in children
while Secondary intussusception caused
by organic lesions, such as inflammatory
bowel disease, postoperative adhesions,
Meckels diverticulum, benign and malignant
lesions, metastatic neoplasms or
even iatrogenically, due to the presence
of intestinal tubes, jejunostomy feeding
tubes or after gastric surgery are common
in adults. Computed tomography is
the most sensitive diagnostic modality
and can distinguish between intussusceptions
with and without a lead point.
Surgery is the definitive treatment of adult
intussusceptions. Reduction of the intussuscepted
bowel is considered safe for benign
lesions especially for small bowel lesions.
Here we present a case of adult intussusception
who presented to our emergency
ward with intestinal obstruction with
no identifiable pathology