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Ileocecal Intussusception

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Published/Copyright: April 1, 2016
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Journal of Osteopathic Medicine
From the journal Journal of Osteopathic Medicine Volume 116 Issue 4

A 68-year-old man with a history of Clostridium difficile colitis presented to the emergency department with recurrent abdominal pain and sudden-onset abdominal distension and vomiting. Physical examination revealed that the abdomen was soft, distended, and tender with hypoactive bowel sounds. A computed tomographic scan of the abdomen and pelvis (image A and image B) revealed an obstruction due to intussusception of the ileum into the cecum. The small bowel was diffusely distended. During a surgical procedure to remove the obstruction, an ileocecal intussusception was confirmed and a right hemicolectomy was performed. Histologic findings revealed acute ulcerative and pseudomembranous colitis with massive submucosal edema. The patient had an unremarkable recovery.

Intussusception is a rare cause of bowel obstruction in adults. Most cases are associated with a pathologic lead point, such as a mass, which is often malignant.1,2 The radiologic diagnosis is established by identifying bowel within bowel that demonstrates mesenteric fat and vessels within the intussuscipiens.3 Management of ileocecal intussusception requires surgical intervention.

From Imaging Service at the VA New Jersey Health Care System in East Orange.

*Address correspondence to Michael A. Cook, DO, VA New Jersey Health Care System, 385 Tremont Ave, East Orange, NJ 07018-1023. E-mail:

References

1. CroomeKP,ColquhounPH. Intussusception in adults.Can J Surg.2007;50(6):E13-E14.Search in Google Scholar

2. ChoiSH,HanJK,KimSH, et al.Intussusception in adults: from stomach to rectum.AJR Am J Roentgenol.2004;183(3):691-698.10.2214/ajr.183.3.1830691Search in Google Scholar PubMed

3. GollubMJ. Colonic intussusception: clinical and radiographic features.AJR Am J Roentgenol.2011;196(5):W580-W585. doi:10.2214/AJR.10.5112.10.2214/AJR.10.5112Search in Google Scholar PubMed

Received: 2015-04-14
Accepted: 2015-10-05
Published Online: 2016-04-01
Published in Print: 2016-04-01

© 2016 American Osteopathic Association

Articles in the same Issue

  1. SURF
  2. The Catabolism of a Medical Student
  3. EDITORIAL
  4. Osteopathic Medical Education: Innovations in a Changing Environment
  5. LETTERS TO THE EDITOR
  6. Landmark Article Supports Osteopathic Medicine? Setting the Record Straight
  7. Response
  8. Effect of Table Trainer–to-Student Ratios on Outcome in Student Assessments of Cervical Muscle Energy Techniques
  9. Corrections
  10. Correction
  11. MEDICAL EDUCATION
  12. Osteopathic Medical Education and Social Accountability
  13. Effect of a Mandatory Third-Year Osteopathic Manipulative Treatment Course on Student Attitudes
  14. Program Characteristics Influencing Allopathic Students’ Residency Selection
  15. Advising Needs of Osteopathic Medical Students Preparing for the Match
  16. Preparation Strategies of Osteopathic Medical Students for the COMLEX-USA Level 2-PE
  17. Perceptions of US and Australian Medical Students and Instructors About Clinical Professional Attire: LAPEL Study
  18. APPENDIX
  19. Appendix 1: Osteopathic Graduate Medical Education, 2016
  20. Appendix 2: American Osteopathic Association Specialty Board Certification
  21. CLINICAL IMAGE
  22. Ileocecal Intussusception
https://doi.org/10.7556/jaoa.2016.053

Articles in the same Issue

  1. SURF
  2. The Catabolism of a Medical Student
  3. EDITORIAL
  4. Osteopathic Medical Education: Innovations in a Changing Environment
  5. LETTERS TO THE EDITOR
  6. Landmark Article Supports Osteopathic Medicine? Setting the Record Straight
  7. Response
  8. Effect of Table Trainer–to-Student Ratios on Outcome in Student Assessments of Cervical Muscle Energy Techniques
  9. Corrections
  10. Correction
  11. MEDICAL EDUCATION
  12. Osteopathic Medical Education and Social Accountability
  13. Effect of a Mandatory Third-Year Osteopathic Manipulative Treatment Course on Student Attitudes
  14. Program Characteristics Influencing Allopathic Students’ Residency Selection
  15. Advising Needs of Osteopathic Medical Students Preparing for the Match
  16. Preparation Strategies of Osteopathic Medical Students for the COMLEX-USA Level 2-PE
  17. Perceptions of US and Australian Medical Students and Instructors About Clinical Professional Attire: LAPEL Study
  18. APPENDIX
  19. Appendix 1: Osteopathic Graduate Medical Education, 2016
  20. Appendix 2: American Osteopathic Association Specialty Board Certification
  21. CLINICAL IMAGE
  22. Ileocecal Intussusception
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