Idiopathic adult intussusception: A case report

Takahiro Shimizu, Naoyuki Kobayashi, Junichi Saito, Tetsuya Nakamura, Aiko Nagayama, Takamichi Yokoe, Eiji Kurihara, Toshiaki Ikeda, Yoshito Ueyama, Mitsuhiro Saito, Hitomi Horikawa, Hidetomo Muto

Research output: Contribution to journalArticle

Abstract

Adult intussusceptions account for 5-10% of all intussusception cases and are considered rare, whereas they are most commonly encountered in children. Among adult cases, idiopathic intussusceptions are pretty rare. A 36-year-old male was admitted to our hospital with abdominal pain. His body temperature was 37.0°C, the white blood cell count was 14,000/μ1 and CRP O.Olmg/dl. A standing abdominal X-ray showed slight niveau formation. Computed tomography demonstrated the multiple concentric ring sign. His condition detoriorated and a laparotomy was performed. Intraoperatlvely, a mass measuring six centimeters in diameter was seen in the left side of the hepatic flexure of the transverse colon. The diseased intestine was reducted with Hutchinson's maneuver. No lesions or malignancy were found, however an ileocecal resection was performed to prevent recurrence of the intussusception. The resected specimen showed congestion and wall thickening. Pathological examination of resected specimen showed marked congestion and hemorrhage with coagulation necrosis. The patient's postoperative course was uneventful and he was discharged from our hospital on the 10th postoperative day. After nineteen months' follow up, no recurrence of the intussusception has been seen. Reduction of the bowel followed by minimum bowel resection should be considered to prevent recurrence of the intussusception and to avoid short gut or adhesional ileus.

Original languageEnglish
Pages (from-to)139-141
Number of pages3
JournalKitakanto Medical Journal
Volume62
Issue number2
DOIs
Publication statusPublished - 2012 Aug 9

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Keywords

  • Adult
  • Bowel
  • Hutchinson's maneuver
  • Idiopathic
  • Intussusception

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Shimizu, T., Kobayashi, N., Saito, J., Nakamura, T., Nagayama, A., Yokoe, T., Kurihara, E., Ikeda, T., Ueyama, Y., Saito, M., Horikawa, H., & Muto, H. (2012). Idiopathic adult intussusception: A case report. Kitakanto Medical Journal, 62(2), 139-141. https://doi.org/10.2974/kmj.62.139