Adult Ileocolica and Colocolica Intussusception: A Rare Case Report
Gde Rastu Adi Mahartha1* , Gede Dian Astika Putera2 , & Made Darmawan2
Abstract
Background: Adult ileocolica and colocolica intussusception is a rare entity with a different clinical presentation and etiology than in children. This case report of one patient in Bali, Indonesia, to get a diagnosis and management of adult intussusception. Case presentation: Male, 23 years old, complained of pain in the right stomach with a scale of 8/10 VAS and nausea accompanied by vomiting every time he eats and drinks. Laboratory examination showed normal HB levels of 16.1 gr/dL and leukocytosis of 16,080 cells/mm3. CT scan of the abdomen with contrast showed invagination in the ileocolica and colocolica in the ascending colon to the transverse colon without lead point images. The patient underwent an exploratory laparotomy. During the operation, intussusception of the terminal ileum segment to the ascending colon was found without an appendix in it, and intussusception of the ascending colon to the transverse, necrotic in the intestinal segment that experienced intussusception accompanied by adhesions to surrounding organs. Resection of the ileal segment to the transverse colon (extended right hemicolectomy) followed by end-to-end transverse colon ileum anastomosis restored the patient’s condition, and no complications were found. Conclusion: The combination of low incidence and non-specific symptoms makes intussusception in adults difficult to diagnose. Modern imaging techniques often provide the correct preoperative diagnosis. Suspicion for a malignant lead point should be high in case of colonic involvement, and colonoscopy can be of added value in these cases. The patient’s therapeutic strategy mostly involves surgery.
Keywords
adult, colocololica; difficult to diagnose; intussusception; ileocolica.
Cite This Article
Mahartha, G. R. A., Putera, G. D. A., Darmawan, M. (2024). Adult Ileocolica and Colocolica Intussusception: A Rare Case Report. International Journal of Scientific Advances (IJSCIA), Volume 5| Issue 6: Nov-Dec 2024, Pages 1120-1124, URL: https://www.ijscia.com/wp-content/uploads/2024/11/Volume5-Issue6-Nov-Dec-No.697-1120-1124.pdf
Volume 5 | Issue 6: Nov – Dec 2024
