A Case Report and Literature Review on Adult Intussusception in a Referral Hospital in SubSaharan Africa

Introduction: Adult intussusception is an uncommon type of intestinal blockage that accounts for fewer than 5% of all intussusception cases. Adult intussusception is a common cause of intestinal blockage in Sub-Saharan Africa. In contrast to childhood intussusceptions, which are usually idiopathic, it is frequently caused by a lead point, which can be cancerous in up to 50% of cases. The author describes a case of intussusception and then conducts a literature study on intussusception’s pathophysiology and treatment possibilities in Sub-Saharan Africa. Case Presentation: A 46-year-old male reported with a variety of stomach symptoms, primarily epigastric discomfort and vomiting. There were no palpable lumps in the abdomen. The results of the laboratory tests were unremarkable. An ileo-ileal-caecal intussusception was discovered during laparotomy, and when the ileum was shortened by 30 cm, it became gangrenous. A small intestinal resection was performed with an end-to-side anastomosis involving the viable ileum and ascending colon. On examination of the ileum in the resected specimen, a lobulated lipoma was found to be the pathological lead point. In the case presented, the atypical clinical characteristics and pathophysiology of adult intussusception are discussed. In addition, this study examines the literature on adult intussusception’s pathophysiology, clinical characteristics, diagnostic imaging techniques, and therapeutic choices. Conclusions: Patients who have had abdominal discomfort and vomiting for a long time should get an abdominal CT scan to rule out intussusception. This will prevent any unnecessarily long delays in the treatment of this problem.

Author (S) Details

Dr. Richard Wismayer
Department of Surgery, Masaka Regional Referral Hospital, Masaka, Uganda and Department of Surgery, IUIU University, Habib Medical School, Kampala, Uganda.

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