The online version of this article (doi:10.1186/s12893-015-0020-6) contains supplementary material, which is available to authorized users.
Hager Aref and Murad Aljiffry are equally contributed to this work.
The authors declare that they have no competing interests.
HA: literature review and summarized all previous similar cases, wrote part of introduction and discussion. AN: wrote the case details and clinical coarse, improved the introduction and photography. AA: reviewed the whole manuscript, offered critiques and improved the discussion and managed the reference list. MA: surgeon who performed the operation, reviewed the case, wrote part of discussion and introduction. All authors read and approved the final manuscript.
The term intussusception refers to invagination of a segment of the gastrointestinal tract into the lumen of an adjacent segment. This is a rare entity and it is more prevalent in children and less common in adults. The diagnosis of intussusception in adults is difficult as a result of the nonspecific signs and symptoms. As there are many common causes of acute abdomen, intussusception should be considered when more frequent etiologies have been ruled out. The laparoscopic approach offers both a diagnostic option and a therapeutic one for intussusception in adults.
We report a forty-one year old male patient, who presented to our Emergency Department complaining of peri-umbilical pain associated with nausea and vomiting for 1 day. Diagnosed with transient small bowel intussusception without any obvious underlying pathology. This report is the first to present an intra-operative video showing the small bowel intussuscepting and reducing spontaneously. Furthermore, the authors present a review about this rare condition, including previously reported similar cases in literature.
Transient intussusception is extremely rare and is a challenging condition. Imaging techniques, especially CT scan, are helpful in the diagnosis of intussusception. However, laparoscopy offers the advantage of distinguishing transient intussusception from persistent intussusception.
Barbette P. Ouevres Chirurgiques at Anatomiques. Geneva, Switzerland: Francois Miege 1674.
Velse C. De Mutuo Intestinorum Ingressu. Lugduni Batavorum. J Luzac 1742.
Stubenord WTTB. Intussusception in adults. Ann Surg Amn surg. 1970;172:306–10. CrossRef
Cerro LM P, Porcari P, De Angelis O. Sonographic diagnosis of intussusceptions in adults. Abdom Imaging. 2000;25:45–7. CrossRef
Makrodimou M, Nikolaou CTD, Velonakis S, Koulentianos E, Dervenis C. Idiopathic intussusception in male adult: a case report. Annals Gastroenterology. 2002;15:88–91.
Guillén Paredes MP, Martín Lorenzo JG, Torralba Martínez JA, Mengual Ballester M, Cases Baldó MJ, Aguayo Albasini JL. Adult intussusception - 14 case reports and their outcomes. Rev Esp Enferm Dig. 2010;102:32–40. PubMed
Y Bennani, Bhatnagar D. This isn’t child’s play: transient intussusception in adults. J Hosp Med. 2013;8.
- Transient small bowel intussusception in an adult: case report with intraoperative video and literature review
- BioMed Central
Neu im Fachgebiet Chirurgie
Mail Icon II