Table of Contents Author Guidelines Submit a Manuscript
Case Reports in Surgery
Volume 2012, Article ID 789378, 4 pages
http://dx.doi.org/10.1155/2012/789378
Case Report

Adult Ileo-Ileo-Caecal Intussusception: Case Report and Literature Review

1Department of General Surgery, Northern Railway Central Hospital, Basant Lane, New Delhi 110055, India
2Department of Radiology, ESI Model Hospital and PGIMSR, Basaidarapur, Ring Road, New Delhi 110015, India
3Department of Anaesthesiology, Northern Railway Central Hospital, Basant Lane, New Delhi 110055, India
4Department of Radiology, Northern Railway Central Hospital, Basant Lane, New Delhi 110055, India
5Department of Casualty and Obstetrics & Gynaecology, Northern Railway Central Hospital, Basant Lane, New Delhi 110055, India
6Medical Directorate, Indian Railways, Rail Bhawan, Rafi Marg, New Delhi 110001, India

Received 8 October 2012; Accepted 18 November 2012

Academic Editors: K. Honma, K. W. Lobdell, J. M. Strzelczyk, and Y. Takami

Copyright © 2012 Sanjeev Singhal et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Adult intussusception is a rare entity accounting for only 5% of all intussusceptions and causes approximately 1% of all adult intestinal obstructions. Unlike paediatric intussusceptions which are usually idiopathic, there is usually a lead point pathology which might be malignant in up to 50% cases. We present an unusual case of adult intussusception which was not diagnosed on any investigation including computerized tomographic (CT) scan and magnetic resonance imaging (MRI). It was a case of ileo-ileo-cecal intussusception caused by a large lipoma . It was treated by emergency laparotomy for acute intestinal obstruction. A conservative resection with ileostomy was performed with good postoperative recovery.