Sharma Pranjul, Baid Himanshi, Sandhu Harindra, Singh Mukta
Emergency Medicine, Himalayan Institute of Medical Sciences, Swami Rama Himalayan University, Dehradun, IND.
General Surgery, Himalayan Institute of Medical Sciences, Swami Rama Himalayan University, Dehradun, IND.
Cureus. 2025 Jul 7;17(7):e87411. doi: 10.7759/cureus.87411. eCollection 2025 Jul.
Intussusception, typically a pediatric condition, is rare in adults and poses a diagnostic challenge in emergency settings due to its varied presentations. We present a case of a 48-year-old female with a history of recurrent abdominal pain after cholecystectomy (done two years back), who presented with an acute onset of colicky abdominal pain, vomiting, and obstipation. Initial evaluation revealed signs of intestinal obstruction and metabolic acidosis. Imaging confirmed sigmoid colo-colic intussusception with a suspected mass lesion as the lead point, later identified intraoperatively as a retained surgical mop. Despite emergent surgical intervention with bowel resection and stoma formation, the patient's clinical course was complicated by septic shock, acute kidney injury, and refractory metabolic acidosis, leading to a fatal outcome. Adult intussusception remains a diagnostic and therapeutic challenge, often necessitating prompt surgical intervention, yet the outcome can be poor, especially in cases with significant intra-abdominal pathology and delayed presentation.
肠套叠通常是一种儿科疾病，在成人中罕见，由于其表现多样，在急诊情况下构成诊断挑战。我们报告一例48岁女性病例，该患者有胆囊切除术后（两年前进行）反复腹痛病史，此次因急性发作的绞痛性腹痛、呕吐和便秘就诊。初步评估显示有肠梗阻和代谢性酸中毒的迹象。影像学检查证实为乙状结肠-结肠套叠，以一个疑似肿块病变作为套叠起点，后来术中发现是一个遗留的手术拖布。尽管紧急进行了肠切除和造口术的手术干预，但患者的临床过程因感染性休克、急性肾损伤和难治性代谢性酸中毒而复杂化，最终导致死亡。成人肠套叠仍然是一个诊断和治疗挑战，通常需要迅速进行手术干预，然而预后可能很差，特别是在有严重腹腔内病变和就诊延迟的情况下。
