Acute Intestinal Intersusception in Adults: About Three Cases and Review of the Literature
MERGHAD Hatim
*
Department of Digestive Surgical Oncology, National Institute of Oncology, Rabat, Morocco.
EL HASSOUNI Sohayb
Department of Digestive Surgery B, Ibn Sina University Hospital, Rabat, Morocco.
BENTALB Youssef
Department of Urology B, Ibn Sina University Hospital, Rabat, Morocco.
ABOUKER Ibrahim
Department of Digestive Surgical Oncology, National Institute of Oncology, Rabat, Morocco.
LAALOU Talha
Department of Digestive Surgery B, Ibn Sina University Hospital, Rabat, Morocco.
BOUCHNAFATI Hager
Department of Digestive Surgery B, Ibn Sina University Hospital, Rabat, Morocco.
MANSOURI Abderrahman
Department of Digestive Surgery B, Ibn Sina University Hospital, Rabat, Morocco.
EL HAMDANI Hamza
Department of Digestive Surgery B, Ibn Sina University Hospital, Rabat, Morocco.
BARRAKOUN Anass
Department of Digestive Surgery A, Ibn Sina University Hospital, Rabat, Morocco.
BRAHMI Oussama
Department of Urology B, Ibn Sina University Hospital, Rabat, Morocco.
IDRISSI Issam
Department of Urology B, Ibn Sina University Hospital, Rabat, Morocco.
ZEGHRI Anass
Department of Digestive Surgery B, Ibn Sina University Hospital, Rabat, Morocco.
IHSANE Ali
Department of Digestive Surgery A, Ibn Sina University Hospital, Rabat, Morocco.
HAMID Mohammed
Department of Digestive Surgery B, Ibn Sina University Hospital, Rabat, Morocco.
MDAGHRI Jalil
Department of Digestive Surgery B, Ibn Sina University Hospital, Rabat, Morocco.
BENAMAR Said
Department of Digestive Surgery B, Ibn Sina University Hospital, Rabat, Morocco.
MSSROURI Rahal
Department of Digestive Surgery B, Ibn Sina University Hospital, Rabat, Morocco.
*Author to whom correspondence should be addressed.
Abstract
Introduction: Acute intestinal intussusception in adults (AII) is rare and occurs infrequently in a tumoral context. New imaging techniques help with pre-operative diagnosis.
Aim: To describe the epidemiological, clinical, radiological, therapeutic, and pathological aspects of AII through three cases.
Materials and Methods: A retrospective study of three cases of AII operated on in the Department of Digestive Surgery B at the Ibn Sina University Hospital of Rabat between 2017 and 2022.
Results: Three patients (mean age 34) consulted for abdominal pain. Two patients with jejuno-jejunal intussusception and one with ileo-caecal intussusception. Pre-operative diagnosis using CT scan in two cases. All patients were operated on with immediate restoration of digestive continuity after intussusception reduction. Pathological study noted benign lesions (lipoma, reactive adenitis) in 02 cases. The outcomes were satisfactory.
Conclusion: AII remains a rare but clinically significant diagnosis. A CT scan is the preferred imaging, and surgery remains the mainstay of therapy.
Keywords: Intestinal intersusception, adult, surgery, acute, CT scan, resection