Edwin C. Ouyang, MD, PhD; David Stockwell, MD, MPH; David Carr-Locke, MD, FRCPSeries Editor: David Carr-Locke, MD, FRCP


September 29, 2005


Intussusception is a rare cause of bowel obstruction in adults. Clinical presentation is usually nonspecific, and includes abdominal pain, diarrhea, nausea, and vomiting. Making an accurate preoperative diagnosis poses a great challenge for clinicians. We report the case of 51-year-old woman presenting with diarrhea and abdominal pain. She was diagnosed with ileocolonic intussusception on the basis of findings on computed tomography (CT) scan and colonoscopy exam. An urgent laparoscopic surgery was performed and a 10-cm long segment of terminal ileum was found to have intussuscepted into the cecum. However, pathologic examination of the resected sample showed nonspecific inflammatory changes at the leading point, without evidence of malignancy or other pathology changes. The etiology of her intussusception was presumably related to a prior episode of viral enteritis.


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