Acute Bowel Intussusception in Adults with Leiomyoma of the Small Intestine: Case Report

Abstract

Acute bowel intussusception is a pathology of infants and small children. Its occurrence in adults is very unusual. It is of diverse etiology. In the vast majority of cases, it is secondary to a tumour which may be benign or malignant. A leiomyoma of the small intestine revealed by bowel intussusception is a very rare entity. We report the case of a 23-year-old patient, admitted to the emergency room of the Ar-razi Hospital of the Mohamed VI University Hospital Centre in Marrakech, Morocco for an intestinal obstruction. The abdominal CT scan showed a hydro-aeric distention of the ileal coves upstream of an abdominal tumour at the pelvic level. The treatment was an open surgical carcinological resection with anastomosis. An anatomopathological and immunohistochemical study of the surgical specimen concluded that a benign-looking mesenchymal cell proliferation corresponds to a leiomyoma. bowel intussusception is a rare condition in adults. It most often leads to the discovery of an organic cause that may be tumourous. Based on this new case and after analysis of the literature, we discuss the clinical and diagnostic characteristics and the therapeutic possibilities of this rare pathology.