Acute Adult Ileo-Ileal Intussusceptions: A Case Report

We relate here the case of a 47 year old patient with no particular history, admitted in the emergency department for an occlusive syndrome which had developed gradually. The onset of symptoms was marked by moderate abdominal pain with bilious vomiting. The symptomatic treatment had no effect; the pain became intense and diffused to the entire abdomen accompanied by uncontrollable vomiting and the passage of gas and stool were stopped. Ultrasonography of abdomen showed target signs in cross section and sandwich sign in longitudinal section which are characteristic of intussusceptions. The abdominal computed tomography (CT) allows diagnostic certainty of discovering the possible etiology. It showed the presence of an intestinal occlusion. The laparotomy revealed an ileo-ileal intussusception caused by an ileal tumor. We performed a segmental small bowel resection with anastomosis. Histological study confirmed the benign nature of the tumor evoking an aspect in favor of an inflammatory pseudotumor of the small intestine.