Abdishakur Abdihakim Elmi, Ahmed Mohamed Amiin Adan
Department of General Surgery, Somali Sudanese Specialized Hospital, Mogadishu 274149, Banadir, Somalia.
General Practitioner, ICU Department, Somali Sudanese Specialized Hospital, Mogadishu 274149, Banadir, Somalia.
World J Clin Cases. 2025 Aug 6;13(22):104352. doi: 10.12998/wjcc.v13.i22.104352.
Intussusception is the invagination of a segment of the bowel into an adjacent segment. It is the most common cause of intestinal obstruction in children, but in adults, it is rare, accounting for 1% of all intestinal obstructions and 5% of all intussusceptions, with malignancy being the most common cause. In the past, it was typically diagnosed intraoperatively. However, with the availability of computed tomography for abdominal imaging, recognizing the condition's signs has become crucial. Surgical intervention is essential for managing neoplastic cases and their complications.
A 45-year-old female presented with severe abdominal pain encompassing her entire abdomen, abdominal distension, vomiting, and persistent constipation. Over the past two months, she has also experienced considerable weight loss. After an initial history review, examination, and imaging investigations, the patient was diagnosed with ileo cecal intussusception resulting from a colo rectal mass located in the cecum and ascending colon. This condition was surgically managed through an extended right hemi colectomy.
Intussusception is uncommon in adults, but it should be considered in patients with intestinal obstruction. Surgical intervention is essential.
肠套叠是一段肠管套入相邻肠段。它是儿童肠梗阻最常见的原因，但在成人中罕见，占所有肠梗阻的1%，所有肠套叠的5%，其中恶性肿瘤是最常见的原因。过去，它通常在术中诊断。然而，随着腹部计算机断层扫描成像技术的应用，识别该病的体征变得至关重要。手术干预对于处理肿瘤病例及其并发症至关重要。
一名45岁女性出现全腹严重腹痛、腹胀、呕吐及持续性便秘。在过去两个月里，她还出现了明显体重减轻。经过初步病史回顾、检查及影像学检查，患者被诊断为回盲部肠套叠，由位于盲肠和升结肠的结直肠肿物引起。该病症通过扩大右半结肠切除术进行手术治疗。
肠套叠在成人中不常见，但肠梗阻患者应考虑此病。手术干预至关重要。
