Adult patient with enteric intussusception in the emergency department. 2025

Osama Abdelsamad, and Helena Fitzpatrick, and Barry Keane, and Darragh Shields
Emergency Department, St James's Hospital, Dublin, Ireland osamaabdelsamad1@hotmail.com.

Acute abdominal pain in adults is a quite common presentation to emergency departments (EDs) with a broad differential diagnosis. Intussusception in adults is rare, so a high index of suspicion is required to consider it as a differential diagnosis. The most common site of an adult's intussusception is the small bowel, most commonly due to a well-defined lesion resulting in a lead point. CT abdominal scan is the definitive investigation of choice, leading to prompt diagnosis and early definitive surgical treatment.We present a case of a woman in her 30s, with a previous laparoscopic partial gastrectomy, who presented to our ED with acute onset of abdominal pain associated with dry retching. Her abdominopelvic CT scan showed small bowel obstruction due to enteric intussusception. She underwent an urgent exploratory laparotomy with manual reduction of the intussusception with no adverse immediate postoperative outcomes due to early diagnosis and management.

UI MeSH Term Description Entries

Related Publications

Osama Abdelsamad, and Helena Fitzpatrick, and Barry Keane, and Darragh Shields
March 2014, Saudi medical journal,
Osama Abdelsamad, and Helena Fitzpatrick, and Barry Keane, and Darragh Shields
April 1949, American journal of surgery,
Osama Abdelsamad, and Helena Fitzpatrick, and Barry Keane, and Darragh Shields
September 1957, Gastroenterology,
Osama Abdelsamad, and Helena Fitzpatrick, and Barry Keane, and Darragh Shields
July 1993, Annals of emergency medicine,
Osama Abdelsamad, and Helena Fitzpatrick, and Barry Keane, and Darragh Shields
October 2011, American journal of surgery,
Osama Abdelsamad, and Helena Fitzpatrick, and Barry Keane, and Darragh Shields
March 2007, Digestive diseases and sciences,
Osama Abdelsamad, and Helena Fitzpatrick, and Barry Keane, and Darragh Shields
May 2020, Emergency medicine clinics of North America,
Osama Abdelsamad, and Helena Fitzpatrick, and Barry Keane, and Darragh Shields
January 1994, STN's journal of trauma nursing : the official journal of the Society of Trauma Nurses,
Osama Abdelsamad, and Helena Fitzpatrick, and Barry Keane, and Darragh Shields
January 1994, Abdominal imaging,
Osama Abdelsamad, and Helena Fitzpatrick, and Barry Keane, and Darragh Shields
November 2019, Clinical case reports,
Copied contents to your clipboard!