Telescoping Intestine in an Adult

Abstract

Protrusion of a bowel segment into another (intussusception) produces severe abdominal pain and culminates in intestinal obstruction. In adults, intestinal obstruction due to intussusception is relatively rare phenomenon, as it accounts for minority of intestinal obstructions in this population demographic. Organic lesion is usually identifiable as the cause of adult intussusceptions, neoplasms account for the majority. Therefore, surgical resection without reduction is almost always necessary and is advocated as the best treatment of adult intussusception. Here, we describe a rare case of a 44-year-old male with a diffuse large B-cell lymphoma involving the terminal ileum, which had caused ileocolic intussusception and subsequently developed intestinal obstruction requiring surgical intervention. This case emphasizes the importance of recognizing intussusception as the initial presentation for bowel malignancy.

Post appendectomy young male proffer intussusception unveiled diffuse large B-cell lymphoma non-Hodgkin lymphoma

“…Subdivided into 4 types, enteroenteric, enterocolic, ileocecal, colocolic. 8 Causes may be idiopathic 10% or secondary to viral infection, organic lesion like neoplasm.…”

Multiple venous malformations in the left colon and rectum: a long-standing case managed conservatively and an update of current literature

“…Rectal bleeding could be ongoing from childhood however around 10% of patients are completely asymptomatic 1. It could also present as bowel obstruction (17%) where localised lesions could act as a nidus for intussusception while larger masses cause mechanical luminal obstruction and may invade surrounding viscera causing abdominal or pelvic discomfort 1 16. Stool consistency is a poor marker as patients can present with both diarrhoea and constipation 17…”

A Case of Carcinoid Likely Causing Jejunal Intussusception

“…Therefore, the presence of intussusception in an adult is a significant finding, as its presence may allude to an underlying malignancy. It follows that resection without reduction is a necessity in most cases in order to abrogate the origin of the intussusception [ 8 ]. Fibrosis is a classic feature found in patients with neuroendocrine tumors arising in the ileum and jejunum [ 9 ].…”