Intussusception: Lab Report and Review of Literature

  • John Juma Ochieng Assistant Lecturer, Department of Human Anatomy, Faculty of Medicine, Uzima University, Kisumu, Kenya
Keywords: Intussusception, Intussusceptum, Intussuscipiens small bowel, Infant, Diagnosis, Surgery

Abstract

Objective: Intussusception is the invagination of a proximal portion of the gastrointestinal tract into an adjacent distal portion. This unusual form of bowel obstruction occurs less frequently in adults. We report a case of small bowel intussusception in a 39-year-old African male cadaver in the cadaveric laboratory in the, Department of Human Anatomy at, Uzima University. We have also performed a literature review of this rare condition.

Method: Student cadaver groups at Uzima University were assigned with a ratio of 8:1 meaning that eight students received one cadaver to work on. There were a total of nine cadavers. One out of the nine assigned specimens had a lead point in the ileocecal valve resulting in ileocecal intussusception upon dissection.

Results: At the ileocecal junction, an intussuscepted distal small bowel was discovered. We concluded it to be an ileocecal intussusception.

Conclusion: The rarity of intussusception in adults makes it an exceptional finding in standard anatomy laboratory. Intussusception can occur anywhere in the gastrointestinal tract. Surgeons should consider intussusception as a severe cause of intestinal obstruction and consequently, anticipate different clinical presentations. Diagnosis of intussusception is difficult to make without surgery, therefore, surgeons need to familiarize themselves with different imaging modalities.

Published
2022-10-29