Ileo-ceco-descendento-colic Intussusception in Adult - A Case Report
C. Molnar, V.I. Neagoe, C. Nicolescu, A. Panţiru, A. Tudor, C. Roşca, C. CopotoiuClinical case, no. 6, 2013
Introduction: Intestinal intussusception in adult represents arare cause of intestinal obstruction, therefore the diagnosticand therapeutic methods must be adapted to each case.Materials and methods: We present the case of a 30 year oldfemale admitted in our service suffering from a subocclusivesymptomatology. After preoperative tests were completed inanother medical unit, we presumed the possibility of intestinalintussusception. The intraoperative exploration revealed thepresence of a terminal ileum tumor (4x5x5 cm) with theinvaginated segment progressed on ileo-ceco-transversodescendento-colic trajectory. After partial desinvagination, weperformed right hemicolectomy with ileo-transverse end-to-endanastomosis.Results: The patient was discharged healthy on the 7thpostoperative day. The histopathological findings revealedsubmucosal ileal lipoma.Conclusions: Tumors of the terminal ileum, cecum or rightcolon could have an important role in the etiology ofmechanical intestinal obstructions. These tumors can be astarting point for intestinal intussusception, which canadvance to the left colon.
