DOI: 10.36347/sasjs.2024.v10i07.017

Pages: 817-821

Adult intussusception is a rare entity which is distinct from paediatric cases in incidence, The overall incidence of intussusception in adulthood has been estimated to be around 2–3 cases/1,000,000 population/year. Ileocolic intussusception in adults is a unique variant in which nearly 100% of cases have a malignant lead point. In our report we present a case of ileocolic intussusception in a 60-year-old female patient caused by a GIST located in the terminal ileum, acting as the apex of intussusception. The female patient was admitted to hospital for abdominal pain, vomiting, nausea, and inability to defecate. The result of CT scan of the abdomen and pelvis showed ileal intussusception, which was confirmed peroperatively. Bowel resection was performed. The final pathologic diagnosis indicated the gastrointestinal stromal tumor of the ileum. The diagnosis of intussusception in adults is delicate, and timely surgical treatment can be vital. Patients with the palpable abdominal mass, digestive tract obstruction, gastrointestinal bleeding, or lead point computed tomography must undergo a surgical examination. Given a high risk of malignancy, primary surgical resection using oncologic principles presents the best option for the treatment of ileocecal intussusception in adults.