Adult Ileocecal Intussusception: A Case Report and Review

Randy Adiwinata(1), Sheila Adiwinata(2), Emerson Patulahon Simatupang(3), Willy Brodus Uwan(4), Marcellus Simadibrata(5),


(1) Landak Public Hospital, Ngabang, West Kalimantan
(2) Faculty of Medicine, Catholic University of Atma Jaya, Jakarta
(3) Department of Surgery, Landak Public Hospital, Ngabang, West Kalimantan
(4) Endoscopy Unit, Santo Antonius Hospital, Pontianak, West Kalimantan
(5) Division of Gastroenterology, Department of Internal Medicine, Faculty of Medicine University of Indonesia/Dr. Cipto Mangunkusumo General National Hospital, Jakarta
Corresponding Author

Abstract


Intussusception is a rare cause of bowel obstruction in adult patients, it represents for five percent of all age intussusception. Several different aspects were found between adult and pediatric intussusception. We report a case of 39-year-old male with bowel obstruction due to ileocecal intussusception, which firstly diagnosed as acute appendicitis. Unlike pediatric intussusception which usually manifest as classical triad signs, unspecific symptoms of adult intussusception may become diagnostic challenge. Imaging modalities such as plain abdominal radiograph and ultrasonography may aid the preoperative diagnosis in the rural hospital setting. Prompt management which involved surgical approach is warranted to prevent further complications.


Keywords


adult intussusception; diagnosis; management; bowel obstruction; ileocecal

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DOI: 10.24871/201201954-57

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