Goi Gloria, Guerci Claudio, Ferrario Luca, Lamperti Giulia Maria Beatrice, Cammarata Francesco, Kazemi Nava Andrea, Danelli Piergiorgio
General Surgery Department, Luigi Sacco University Hospital, Via G. B Grassi 74, Milan 20157, Italy.
University of Milan, Via Festa del Perdono 7, Milan 20122, Italy.
J Surg Case Rep. 2025 Jul 26;2025(7):rjaf301. doi: 10.1093/jscr/rjaf301. eCollection 2025 Jul.
Intussusception is a rare cause of intestinal obstruction. In adults, it is often secondary to an underlying pathology. Imaging plays a central role in the diagnosis. Surgical intervention is the treatment of choice when bowel obstruction occurs. The goal of surgery is both therapeutic and diagnostic, allowing for resection and pathological evaluation. This case of a 76-year-old female shows that early recognition and prompt surgery are crucial for a favorable outcome. The patient exhibited symptoms of bowel obstruction. The computed tomography scan clearly demonstrated intussusception of the terminal ileum into the cecum. The patient underwent urgent laparoscopic right hemicolectomy with extracorporeal anastomosis. Histological findings: intussusception with a tubulovillous adenoma with low-grade dysplasia and without invasive features. In this case, an underlying potentially malignant evolving condition was discovered and removed. In conclusion, early recognition and intervention are key to improving outcomes in patients with intussusception and intestinal obstruction signs.
肠套叠是肠梗阻的罕见原因。在成人中，它通常继发于潜在的病理状况。影像学在诊断中起核心作用。当发生肠梗阻时，手术干预是首选治疗方法。手术的目标兼具治疗和诊断性，可进行切除及病理评估。这位76岁女性的病例表明，早期识别和及时手术对于取得良好预后至关重要。患者出现肠梗阻症状。计算机断层扫描清楚地显示末段回肠套入盲肠。患者接受了紧急腹腔镜右半结肠切除术并进行体外吻合。组织学检查结果：肠套叠伴管状绒毛状腺瘤，低度发育异常，无浸润性特征。在该病例中，发现并切除了一种潜在的恶性进展性病变。总之，早期识别和干预是改善肠套叠和肠梗阻体征患者预后的关键。
