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Adult intussusception is an uncommon condition that constitutes a small percentage of cases of bowel obstruction in adults. Unlike its paediatric counterpart, it is often linked to an underlying pathology, necessitating surgical interventions for diagnosis and treatment. This report discusses a case involving a 54-year-old woman who presented with symptoms of small bowel obstruction, including abdominal pain, nausea, and constipation, along with a one-month history of weight loss.

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A 49-year-old male with no comorbidities presented with acute colicky lower abdominal pain for one day, alongside three months of intermittent abdominal pain, loose stools, and melena. A contrast-enhanced computed tomography scan revealed an intussusception. During exploratory laparotomy, an ileo-ileal intussusception with a 3 cm polypoid lesion 10 cm from the ileo-caecal junction was found.

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Article Synopsis
  • Internal hernias are a rare but serious cause of small intestinal obstructions, accounting for 0.6-5.8% of cases, with a small percentage being congenital trans mesenteric types.
  • A case study of a 38-year-old male highlights the urgency of surgical intervention after presenting with severe abdominal symptoms, ultimately leading to a diagnosis of a strangulated trans mesenteric hernia.
  • Timely diagnosis and surgery are crucial to prevent severe complications like bowel gangrene; laparotomy is the recommended treatment to address these emergencies and prevent future occurrences.
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From an incidental lipoma to ileo-ileal intussusception in an adult: A case report.

Int J Surg Case Rep

October 2024

President and Founder of Emirates Society of Colorectal Surgery, United Arab Emirates.

Introduction And Importance: Intussusception in adults is rare, constituting a miniscule number of bowel obstruction pathologies. Clinical practice often considers it a last-resort diagnosis, as other causes of mechanical small bowel obstruction are more common. The diagnosis is a challenging one to make, as the "telescoping" motion of the intestines fluctuates in a waxing-and-waning nature.

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Ileo-ileal intussusception, an infrequent cause of small bowel obstruction in adults, can be initiated by inflammatory fibroid polyps. These are uncommon, benign submucosal lesions of the gastrointestinal tract. This case report explores an adult patient with inflammatory fibroid polyps-induced ileo-ileal intussusception.

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