{"pk":17447,"title":"Ileocecal Intussusception in the Adult Population: Case Series of Two Patients","subtitle":null,"abstract":"Background: Intussusception is a condition found primarily in the pediatric population. In the adult population, however, intussusception is usually due to a pathological process, with a higher risk of bowel obstruction, vascular compromise, inflammatory changes, ischemia, and necrosis. Radiographic and sonographic evidence can aid in the diagnosis. Surgical intervention involving resection of affected bowel is the standard of care in adult cases of intussusception.\n\n\nCase Reports: We present the case of a 21-year-old female who presented to the Emergency Department with diffuse cramping abdominal pain and distention. Workup revealed ileocecal intussusception, with a prior appendectomy scar serving as the lead point discovered during exploratory laparotomy. We also present the case of a 66-year-old male, who presented with one week of intermittent lower abdominal pain associated with several episodes of nausea and vomiting. Workup revealed ileocolic intussusception secondary to adenocarcinoma of the right colon, confirmed upon exploratory laparotomy with subsequent right hemicolectomy.\n\n\nConclusion: In the adult population, intussusception is usually caused by a lead point, with subsequent telescoping of one part of the bowel into an adjacent segment. While intussusception can occur in any part of the bowel, it usually occurs between a freely moving segment and either a retroperitoneal or an adhesion-fixed segment. The etiology may be associated with pathological processes such as carcinoma or iatrogenic causes, such as scars or adhesions from prior surgeries. The cases presented here demonstrate important etiologies of abdominal pain in adult patients. Along with gynecological etiologies of lower quadrant abdominal pain in female patients, it is important for the emergency physician to expand the differential diagnosis to include other causes, such as intussusceptions, especially given the symptoms that could be associated with bowel obstruction. [West J Emerg Med. 2010;197-200.]","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial  4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"appendectomy"},{"word":"colon cancer"},{"word":"abdominal pain"},{"word":"Intussusception"},{"word":"Emergency Medicine"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0t55328z","frozenauthors":[{"first_name":"Deena","middle_name":"","last_name":"Ibrahim","name_suffix":"","institution":"University of California, Irvine School of Medicine, Orange, CA","department":"None"},{"first_name":"Nina","middle_name":"P.","last_name":"Patel","name_suffix":"","institution":"Stanford School of Medicine","department":"None"},{"first_name":"Malkeet","middle_name":"","last_name":"Gupta","name_suffix":"","institution":"malkeetgupta@yahoo.com","department":"None"},{"first_name":"J","middle_name":"Christian","last_name":"Fox","name_suffix":"","institution":"University of California, Irvine","department":"None"},{"first_name":"Shahram","middle_name":"","last_name":"Lotfipour","name_suffix":"","institution":"University of California, Irvine School of Medicine, Orange, CA","department":"None"}],"date_submitted":"2009-07-25T07:00:00Z","date_accepted":"2009-07-25T07:00:00Z","date_published":"2010-07-28T07:00:00Z","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/17447/galley/8880/download/"}]}