Ileocolic Intussusception in an Adult

Abstract

Background: Intussusception is commonly presented in children, whereas in adult, it is a rare finding. Classic presentation of ileocolic intussusception seen in children is missing in the adult population. So many times, adult patient of ileocolic intussusception presenting with atypical symptoms becomes a diagnostic dilemma which gets confirmed only after the surgery. Here, we are presenting a rare case series of ileocolic intussusception managed in our tertiary care center during the past 5 years. We are also discussing the available literature in the context of our clinical findings, possible etiopathogenesis, and management of this rare presentation. Materials and Methods: We are reporting here rare seven cases diagnosed with ileocolic intussusception and were managed successfully at our tertiary care hospital over span of the past 5 years. Data of all these cases (n = 7) were collected and analyzed retrospectively. Results: Among the seven patients, six were male (85.71%). The mean age of presentation was 59.1 years of age (range: 45–74 years). Most patients (85.71%) had abdominal pain as main presenting complaint. Three patients (42.85%) were diagnosed primarily on colonoscopy, whereas the rest four were diagnosed on contrast-enhanced computed tomography abdomen. Most patients had pathological lead points such as gastrointestinal stromal tumor (n = 2), carcinoma cecum (n=1), adenovillous adenoma (n=1), and Non-Hodgkin's lymphoma (n = 1). Most of the patients (n=6) needed surgical exploration. Conclusion: Adult ileocolic intussusception is usually associated with pathological malignant lead points. Surgical explorations are mainstay of treatment in these cases.