Jejuno-jejunal intussusception in an adult - a cadaveric case report

Abstract

Intussusception is rare in adults. It accounts for 5 to 10% of all intussusceptions and 1% of all bowel obstructions. It has a definite lead point in the form of either a lesion in the bowel wall or intraluminal, which alters the normal peristalsis and may lead to an invagination. It may present as an acute, intermittent or chronic problem and thus making its pre-operative diagnosis difficult. The symptoms are usually those of bowel obstructions which include nausea, vomiting, abdominal pain with or without melena and it depends on the causative lesions. Ultrasound and CT scans are the two most important radiological methods used in the diagnosis of intussusceptions. Surgical resection of the intussuscepted mass without reduction and end to end anastomosis is the preferred line of treatment in adults, because most of the enteric intussusceptions are associated with malignancy. In this report, we present a case of jejuno - jejunal intussusception in a dissection hall cadaver and analyze its incidence, etio-pathogenesis, classification, symptomatology, importance of imaging studies in the diagnosis and the therapeutic interventions in detail.

Keywords

• jejunum
• ct scan
• resection
• bowel obstruction