Jejunojejunal Intussusception in Adult - A Rare Case Report

Abstract

Abstract : Adult intussusception is less common and differs from childhood intussusception in its presentation, aetiology, and management. In adults, most cases are diagnosed at emergency laparotomy. With more frequent use of computed tomography in the evaluation of patients with abdominal pain, the condition can be diagnosed more reliably. Treatment depends on the cause of the intussusception, mostly lead point being made out in adult patients. Intussusception is the telescoping of one segment of the gastrointestinal tract into an adjacent one.1 This condition is uncommon in adults, with two to three cases occurring in a population of 1 000 000 per annum 2 and accounts for less than 0.1 of all adult hospital admissions.3,4 The incidence of jejunal intussusception is very rare. The diagnosis in adults is usually made at              laparotomy, as most patients present as an emergency with intestinal obstruction. In non-emergency situation, the                diagnosis can be challenging as symptoms include                          intermittent abdominal pain that often settles comparatively quickly. 5 Although the surgical treatment is straightforward in most cases, in some patients, in particular those with gastro duodenal and coloanal intussusception, the operative aspect can be challenging. This paper presents a rare case of jejunal intussusception in adult, followed by review of the literature.

Keyword :Intussusception , Jejunal polyp, jejunal                       intususception