Idiopathic enterocolic intussusception: imaging findings in an abdominal emergency

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Abstract

Adult intussusceptions are a rare cause of abdominal obstruction and are usually associated with a neoplastic disease; idiopathic forms are extremely rare. We report a case of enterocolic intussusception in a young woman who experienced symptoms of abdominal obstruction. Imaging findings were reported. On histological examination, no underlying diseases were found. The patient presented at the hospital for computed tomography because of persistent abdominal pain. Computed tomography revealed an enterocolic invagination involving the ileocecal valve and cecum and widespread edematous thickening of the colonic parietal walls.

Idiopathic enterocolic intussusception is an uncommon abdominal urgency in adults. Symptoms can be vague and persistent, delaying an accurate diagnosis. Imaging is crucial in these circumstances to make a diagnosis. Some computed tomography findings, such as a target-like bulk, may be suggestive.

About the authors

Rosario Francesco Balzano

Monsignor Raffaele Dimiccoli

Email: ro.balzano@gmail.com
ORCID iD: 0000-0001-5630-6760

MD

Italy, Barletta

Francesco Lattanzio

Monsignor Raffaele Dimiccoli

Email: fralattanzio@hotmail.com

MD

Italy, Barletta

Giacomo Fascia

Foggia University

Email: giacomo.fascia@unifg.it
ORCID iD: 0000-0001-5244-5093

MD

Italy, Foggia

Manuela Montatore

Foggia University

Email: manuela.montatore@unifg.it
ORCID iD: 0009-0002-1526-5047

MD

Italy, Foggia

Marina Balbino

Foggia University

Email: marina.balbino@unifg.it
ORCID iD: 0009-0009-2808-5708

MD

Italy, Foggia

Federica Masino

Foggia University

Email: federica.masino@unifg.it
ORCID iD: 0009-0004-4289-3289

MD

Italy, Foggia

Domenico Mannatrizio

Foggia University

Email: dr.mannatrizio@gmail.com
ORCID iD: 0000-0003-3365-7132

MD

Italy, Foggia

Giuseppe Guglielmi

Monsignor Raffaele Dimiccoli; Foggia University; Casa Sollievo della Sofferenza Hospital

Author for correspondence.
Email: giuseppe.guglielmi@unifg.it
ORCID iD: 0000-0002-4325-8330

MD, Professor

Italy, Barletta; Foggia; Foggia

References

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2. Fig. 1. Computed tomography of the abdominal cavity, portal phase. Multiplanar sagittal reconstruction: a — intestinal intussusception involving fatty mesentery tissue and vascular structures; b — thick edematous walls, heavy fatty tissue seal; c — satellite nodes (11 mm).

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3. Fig. 2. Oblique sagittal multiplanar reconstruction in the orthogonal direction: a "target symptom" due to the alternation of edematous walls and adipose mesentery tissue.

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