Adult Ileocecal Intussusception: A Case Report and Review

Randy Adiwinata (Landak Public Hospital, Ngabang, West Kalimantan)
Sheila Adiwinata (Faculty of Medicine, Catholic University of Atma Jaya, Jakarta)
Emerson Patulahon Simatupang (Department of Surgery, Landak Public Hospital, Ngabang, West Kalimantan)
Willy Brodus Uwan (Endoscopy Unit, Santo Antonius Hospital, Pontianak, West Kalimantan)
Marcellus Simadibrata (Division of Gastroenterology, Department of Internal Medicine, Faculty of Medicine University of Indonesia/Dr. Cipto Mangunkusumo General National Hospital, Jakarta)

The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy
Vol 20, No 1 (2019): VOLUME 20, NUMBER 1, April 2019

Intussusception is a rare cause of bowel obstruction in adult patients, it represents for five percent of all age intussusception. Several different aspects were found between adult and pediatric intussusception. We report a case of 39-year-old male with bowel obstruction due to ileocecal intussusception, which firstly diagnosed as acute appendicitis. Unlike pediatric intussusception which usually manifest as classical triad signs, unspecific symptoms of adult intussusception may become diagnostic challenge. Imaging modalities such as plain abdominal radiograph and ultrasonography may aid the preoperative diagnosis in the rural hospital setting. Prompt management which involved surgical approach is warranted to prevent further complications.