Double ileo-ileal intussusception secondary to inflammatory pseudotumor in an adult: A rare case report
1Department of General Surgery, MKCG Medical College and Hospital, Berhampur, Odisha, India.
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Summary
Adult intussusception is rare, often caused by a lead point. This case details an exceptionally rare instance of double intussusception in an adult, triggered by an inflammatory pseudotumor.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Adult intussusception is uncommon, typically linked to a lead point.
- Inflammatory pseudotumor is a rare, benign lesion that can act as a lead point in the small bowel.
Observation:
- A 55-year-old woman presented with symptoms of small bowel obstruction.
- Imaging revealed ileo-ileal intussusception, and intraoperatively, a double intussusception was found.
- A lesion at the apex was resected and histopathology confirmed it as an inflammatory pseudotumor.
Findings:
- The patient experienced a double intussusception where one intussuscepted segment served as the lead point for a second.
- Histopathological analysis confirmed the lead point as an inflammatory pseudotumor.
- The patient recovered well after surgical resection and remained asymptomatic.
Implications:
- This case highlights an exceedingly rare cause of acute intestinal obstruction in adults.
- It underscores the importance of considering rare benign tumors as potential lead points in adult intussusception.
- Prompt surgical intervention is crucial for managing such complex cases.