Ileoileal intussusception as initial manifestation of Crohn's disease

Intussusception is usually considered a childhood condition, but it may also be present in adults, where it is more often associated with an underlying pathology. There is no agreement upon the correct treatment of adult intussusception, although surgical intervention is considered necessary. Resect...

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Published inMcGill journal of medicine Vol. 9; no. 1; pp. 34 - 37
Main Authors López-Tomassetti Fernández, E M, Lorenzo Rocha, N, Arteaga González, I, Carrillo Pallarés, A
Format Journal Article
LanguageEnglish
Published Canada McGill University 01.01.2006
Subjects
Case Report
Acute abdomen
Bowel obstruction
Intussusception
Crohn’s disease
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Summary:Intussusception is usually considered a childhood condition, but it may also be present in adults, where it is more often associated with an underlying pathology. There is no agreement upon the correct treatment of adult intussusception, although surgical intervention is considered necessary. Resection without prior reduction has been the traditional treatment of choice due to the significant risk for malignancy found in most series. We describe an unusual case of intestinal necrosis secondary to ileoileal intussusception caused by Crohn's disease. A long intestinal resection was necessary and the patient was discharged without major complications. Based on the details of this case, the authors emphasize the potential importance of considering individualized treatment of adult intussusception. The practical benefit for reduction of viable bowel in Crohn's patients is the preservation of bowel length.
Bibliography:Eudaldo M. López-Tomassetti Fernández is a third year surgical resident at University Hospital of The Canary Islands in Spain. He has special interest in Gastrointestinal Surgical Oncology and Bariatric Surgery.
ISSN:1201-026X