Idiopathic enterocolic intussusception: imaging findings in an abdominal emergency

Abstract

Adult intussusceptions are a rare cause of abdominal obstruction and are usually associated with a neoplastic disease; idiopathic forms are extremely rare. We report a case of enterocolic intussusception in a young woman who experienced symptoms of abdominal obstruction. Imaging findings were reported. On histological examination, no underlying diseases were found. The patient presented at the hospital for computed tomography because of persistent abdominal pain. Computed tomography revealed an enterocolic invagination involving the ileocecal valve and cecum and widespread edematous thickening of the colonic parietal walls.

Idiopathic enterocolic intussusception is an uncommon abdominal urgency in adults. Symptoms can be vague and persistent, delaying an accurate diagnosis. Imaging is crucial in these circumstances to make a diagnosis. Some computed tomography findings, such as a target-like bulk, may be suggestive.

Keywords

intussusception / laparoscopy / colectomy / computed tomography / abdomen

References

[1] Valentini V, Buquicchio GL, Galluzzo M, et al. Intussusception in Adults: The Role of MDCT in the Identification of the Site and Cause of Obstruction. Gastroenterol Res Pract. 2016;2016:5623718. doi: 10.1155/2016/5623718

[2] Valentini V., Buquicchio G.L., Galluzzo M., et al. Intussusception in Adults: The Role of MDCT in the Identification of the Site and Cause of Obstruction // Gastroenterol Res Pract. 2016. Vol. 2016. P. 5623718. doi: 10.1155/2016/5623718

[3] Valentini V, Buquicchio GL, Galluzzo M, et al. Intussusception in Adults: The Role of MDCT in the Identification of the Site and Cause of Obstruction. Gastroenterol Res Pract. 2016;2016:5623718. doi: 10.1155/2016/5623718

[4] Kim YH, Blake MA, Harisinghani MG, et al. Adult intestinal intussusception: CT appearances and identification of a causative lead point. Radiographics. 2006;26(3):733–744. doi: 10.1148/rg.263055100

[5] Kim Y.H., Blake M.A., Harisinghani M.G., et al. Adult intestinal intussusception: CT appearances and identification of a causative lead point // Radiographics. 2006. Vol. 26, N 3. P. 733–744. doi: 10.1148/rg.263055100

[6] Kim YH, Blake MA, Harisinghani MG, et al. Adult intestinal intussusception: CT appearances and identification of a causative lead point. Radiographics. 2006;26(3):733–744. doi: 10.1148/rg.263055100

[7] Gollub MJ. Colonic intussusception: clinical and radiographic features. AJR Am J Roentgenol. 2011;196(5):W580–W585. doi: 10.2214/AJR.10.5112

[8] Gollub M.J. Colonic intussusception: clinical and radiographic features // AJR Am J Roentgenol. 2011. Vol. 196, N 5. P. W580–W585. doi: 10.2214/AJR.10.5112

[9] Gollub MJ. Colonic intussusception: clinical and radiographic features. AJR Am J Roentgenol. 2011;196(5):W580–W585. doi: 10.2214/AJR.10.5112

[10] Marinis A, Yiallourou A, Samanides L, et al. Intussusception of the bowel in adults: a review. World J Gastroenterol. 2009;15(4):407–411. doi: 10.3748/wjg.15.407

[11] Marinis A., Yiallourou A., Samanides L., et al. Intussusception of the bowel in adults: a review // World J Gastroenterol. 2009. Vol. 15, N 4. P. 407–411. doi: 10.3748/wjg.15.407

[12] Marinis A, Yiallourou A, Samanides L, et al. Intussusception of the bowel in adults: a review. World J Gastroenterol. 2009;15(4):407–411. doi: 10.3748/wjg.15.407

[13] Azar T, Berger DL. Adult intussusception. Ann Surg. 1997;226(2):134–138. doi: 10.1097/00000658-199708000-00003

[14] Azar T., Berger D.L. Adult intussusception // Ann Surg. 1997. Vol. 226, N 2. P. 134–138. doi: 10.1097/00000658-199708000-00003

[15] Azar T, Berger DL. Adult intussusception. Ann Surg. 1997;226(2):134–138. doi: 10.1097/00000658-199708000-00003

[16] Aydin N, Roth A, Misra S. Surgical versus conservative management of adult intussusception: Case series and review. Int J Surg Case Rep. 2016;20:142–146. doi: 10.1016/j.ijscr.2016.01.019

[17] Aydin N., Roth A., Misra S. Surgical versus conservative management of adult intussusception: Case series and review // Int J Surg Case Rep. 2016. Vol. 20. P. 142–146. doi: 10.1016/j.ijscr.2016.01.019

[18] Aydin N, Roth A, Misra S. Surgical versus conservative management of adult intussusception: Case series and review. Int J Surg Case Rep. 2016;20:142–146. doi: 10.1016/j.ijscr.2016.01.019

[19] Waseem M, Rosenberg HK. Intussusception. Pediatr Emerg Care. 2008;24(11):793–800. doi: 10.1097/PEC.0b013e31818c2a3e

[20] Waseem M., Rosenberg H.K. Intussusception // Pediatr Emerg Care. 2008. Vol. 24, N 11. P. 793–800. doi: 10.1097/PEC.0b013e31818c2a3e

[21] Waseem M, Rosenberg HK. Intussusception. Pediatr Emerg Care. 2008;24(11):793–800. doi: 10.1097/PEC.0b013e31818c2a3e

[22] Martín-Lorenzo JG, Torralba-Martinez A, Lirón-Ruiz R, et al. Intestinal invagination in adults: preoperative diagnosis and management. Int J Colorectal Dis. 2004;19(1):68–72. doi: 10.1007/s00384-003-0514-z

[23] Martín-Lorenzo J.G., Torralba-Martinez A., Lirón-Ruiz R., et al. Intestinal invagination in adults: preoperative diagnosis and management // Int J Colorectal Dis. 2004. Vol. 19, N 1. P. 68–72. doi: 10.1007/s00384-003-0514-z

[24] Martín-Lorenzo JG, Torralba-Martinez A, Lirón-Ruiz R, et al. Intestinal invagination in adults: preoperative diagnosis and management. Int J Colorectal Dis. 2004;19(1):68–72. doi: 10.1007/s00384-003-0514-z

[25] Amoruso M, D’Abbicco D, Praino S, et al. Idiopathic adult colo-colonic intussusception: Case report and review of the literature. Int J Surg Case Rep. 2013;4(4):416–418. doi: 10.1016/j.ijscr.2013.01.010

[26] Amoruso M., D’Abbicco D., Praino S., et al. Idiopathic adult colo-colonic intussusception: Case report and review of the literature // Int J Surg Case Rep. 2013. Vol. 4, N 4. P. 416–418. doi: 10.1016/j.ijscr.2013.01.010

[27] Amoruso M, D’Abbicco D, Praino S, et al. Idiopathic adult colo-colonic intussusception: Case report and review of the literature. Int J Surg Case Rep. 2013;4(4):416–418. doi: 10.1016/j.ijscr.2013.01.010

[28] Dawes LC, Hunt R, Wong JK, et al. Multiplanar reconstruction in adult intussusception: case report and literature review. Australasian Radiology. 2004;48(1):74–76. doi: 10.1111/j.1440-1673.2004.01249.x

[29] Dawes L.C., Hunt R., Wong J.K., et al. Multiplanar reconstruction in adult intussusception: case report and literature review // Australasian Radiology. 2004. Vol. 48, N 1. P. 74–76. doi: 10.1111/j.1440-1673.2004.01249.x

[30] Dawes LC, Hunt R, Wong JK, et al. Multiplanar reconstruction in adult intussusception: case report and literature review. Australasian Radiology. 2004;48(1):74–76. doi: 10.1111/j.1440-1673.2004.01249.x

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