A year-old girl presented to the Emergency Department with vomiting and abdominal pain. On examination, she had only mild abdominal tenderness, but a mass was palpable in her right lower quadrant. Intussusception was diagnosed on ultrasound and confirmed on computed tomography CT scan, and operative findings revealed a jejunojejunal intussusception secondary to Meckel's diverticulum. Intussusception is a gastrointestinal condition describing the involution of a proximal portion of the bowel into a more distal portion, leading to inflammation and often bowel obstruction. Traditional teaching describes a patient within this age range with the triad of abdominal pain, vomiting, and bloody mucoid stools. However, these age ranges and classic symptoms represent only a subset of patients presenting with this condition.
Adult intussusception due to Meckel's diverticulum is an uncommon cause of intestinal obstruction. However, the surgeon should still be suspicious of this condition since the non specific symptoms and the rarity of it make a preoperative diagnosis uncertain. Considering the secondary nature of adult intussusception and the necessity of early surgical intervention to avoid morbidity and mortality, we report one case of intussusception due to Meckel's diverticulum in an adult. A year-old patient was admitted to our hospital with vomiting and abdominal pain. The abdomen was hard with tenderness. We diagnosed an acute small bowel obstruction and performed emergency surgery. The intra operative findings were distention of the small bowel and intussusception of ileus due to an inverted Meckel's diverticulum located 70 cm from the ileocecal valve.
Intussusception is a rare, serious disorder in which one part of the intestine slides inside an adjacent part. Intussusception in-tuh-suh-SEP-shun is a serious condition in which part of the intestine slides into an adjacent part of the intestine. This "telescoping" often blocks food or fluid from passing through. Intussusception also cuts off the blood supply to the part of the intestine that's affected, which can lead to a tear in the bowel perforation , infection and death of bowel tissue. Though rare in adults, most cases of adult intussusception are the result of an underlying medical condition, such as a tumor. In adults, surgery is often required to correct the problem.
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