Adult Ileocolic Intussusception Following Appendectomy: A Case Report of a Rare Sonographic Finding

• Published in: Cureus Vol. 16; no. 2; p. e54195
• Main Authors: Hussein, Abdulaziz A, Suliman, Awadia G
• Format: Report
• Language: English
• Published: 01.02.2024
• ISSN: 2168-8184; 2168-8184
• DOI: 10.7759/cureus.54195

Adult intussusception is a rare condition characterized by the telescoping of one segment of the intestine into an adjacent segment. Prompt recognition and intervention are crucial due to the potential for serious complications. The present case is of adult ileocolic intussusception in a 47-year-old male patient who underwent appendectomy three weeks prior. The patient presented with constipation, lower abdominal pain, and vomiting. A transabdominal ultrasound revealed characteristic sonographic features, including a target appearance at the transverse view and the pseudokidney sign of the longitudinal view associated with the presence of reactive lymph nodes. Doppler ultrasound indicated no internal flow, suggesting possible ischemia. This case highlights the role of ultrasound in the initial evaluation of adult intussusception and emphasizes the need for further imaging modalities for detailed anatomical evaluation and lesion identification.