Abdishakur AE, Ahmed MAA. Adult ileo cecal intussusception as a manifestation of colon carcinoma: A case report. World J Clin Cases 2025; 13(22): 104352 [DOI: 10.12998/wjcc.v13.i22.104352]
Corresponding Author of This Article
Abdihakim Elmi Abdishakur, MD, Department of General Surgery, Somali Sudanese Specialized Hospital, Mogadishu Hodan Sonna Key, Mogadishu 274149, Banadir, Somalia. xakiimcilmi@hotmail.com
Research Domain of This Article
Surgery
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Author contributions: Abdishakur AE contributed to the conception of the case report and the preparation of the first draft, as well as the collection of data, discussion, and references. He also performed the surgery and followed the patient until full recovery; Ahmed MAA contributed to the literature review, history taking, investigation, and draft preparation.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Abdihakim Elmi Abdishakur, MD, Department of General Surgery, Somali Sudanese Specialized Hospital, Mogadishu Hodan Sonna Key, Mogadishu 274149, Banadir, Somalia. xakiimcilmi@hotmail.com
Received: December 18, 2024 Revised: March 11, 2025 Accepted: April 9, 2025 Published online: August 6, 2025 Processing time: 147 Days and 14.5 Hours
Abstract
BACKGROUND
Intussusception is the invagination of a segment of the bowel into an adjacent segment. It is the most common cause of intestinal obstruction in children, but in adults, it is rare, accounting for 1% of all intestinal obstructions and 5% of all intussusceptions, with malignancy being the most common cause. In the past, it was typically diagnosed intraoperatively. However, with the availability of computed tomography for abdominal imaging, recognizing the condition's signs has become crucial. Surgical intervention is essential for managing neoplastic cases and their complications.
CASE SUMMARY
A 45-year-old female presented with severe abdominal pain encompassing her entire abdomen, abdominal distension, vomiting, and persistent constipation. Over the past two months, she has also experienced considerable weight loss. After an initial history review, examination, and imaging investigations, the patient was diagnosed with ileo cecal intussusception resulting from a colo rectal mass located in the cecum and ascending colon. This condition was surgically managed through an extended right hemi colectomy.
CONCLUSION
Intussusception is uncommon in adults, but it should be considered in patients with intestinal obstruction. Surgical intervention is essential.
Core Tip: Intussusception, a common cause of intestinal obstruction in children, is rare in adults and often linked to malignancy. Early diagnosis through computed tomography imaging is crucial to prevent complications. This case highlights a 45-year-old female with ileocecal intussusception due to a colorectal mass, successfully treated with extended right hemicolectomy. Recognizing intussusception as a differential diagnosis in adult intestinal obstruction is essential, as timely surgical intervention plays a critical role in patient outcomes.
