Ileocecal intussusception (adult)

Case contributed by Yaïr Glick
Diagnosis certain

Presentation

Periumbilical pain, nausea.

Patient Data

Age: 40 years
Gender: Female

Dilated small bowel loops, air-fluid levels.

Nasogastric tube in the stomach.

Case Discussion

The patient was rushed to the OR, where an ileocecal resection was performed, followed by an ileo-ascending colon anastomosis.

Pathology:
Ileocecum (resection):
Small bowel intussusception due to a pedunculated intraluminal necrotic polyp, of probably inflammatory type. Signs of ischemic necrosis of the small bowel involving the entire intestinal wall thickness with edema, blood vessel congestion, and fresh hemorrhages. Proximal and distal resection margins without remarkable changes. The remaining preserved small intestine and cecum are free of pathological changes. No lymph nodes were seen in the peri-intestinal fat.
Appendix: Coprostasis.

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