Intestinal intussusception: Uncommon occurrence in a 25-year-old female: A case report.

Abstract

Introduction and importance: Intestinal intussusception is an uncommon condition in adults, particularly in young females, where one segment of the intestine telescopes into an adjacent segment, leading to bowel obstruction and potential compromise of blood supply. This case report presents a rare instance of intestinal intussusception in a 25-year-old female.

Case presentation: A 25-year-old female presented to the emergency department with severe, sudden-onset abdominal pain, nausea, and vomiting. Physical examination revealed a soft abdomen with tenderness and rebound tenderness initially in the right upper quadrant, which later migrated to the left upper quadrant, along with leukocytosis. Imaging studies, including X-ray, ultrasound, and contrast-enhanced computed tomography (CT) scan, demonstrated dilated intestinal loops, a "bowel within bowel" appearance suggestive of intussusception, and a right appendiceal cyst. The patient underwent surgical intervention after failing to respond to initial conservative management.

Clinical discussion: Adult intussusception is rare, often presenting with non-specific symptoms that can delay diagnosis and treatment. Imaging modalities, particularly CT scans, are crucial for accurate diagnosis, localizing the intussusception, identifying lead points, and guiding management. While conservative management may be considered for uncomplicated small bowel intussusceptions, surgical intervention is typically recommended for symptomatic cases, large bowel involvement, or suspected malignancy.

Conclusions: This case highlights the importance of maintaining a high index of suspicion for intussusception in adult patients presenting with abdominal symptoms, regardless of age or gender. Early recognition through appropriate imaging, such as contrast-enhanced computed tomography (CT), and prompt management, including timely surgical intervention when conservative treatment fails, is essential to optimize patient outcomes in this uncommon but potentially serious condition.