Acta Scientific Gastrointestinal Disorders

Research Article Volume 8 Issue 8

Intussusception – To Resect or Not to Resect?

Vinay S Singh*, Ankit Kr Singh, Prateek Punera, Charu Bansal and Tushar Kaura

Department of General Surgery, SMIH, Dehradun, Uttarakhand, India

*Corresponding Author: Vinay S Singh, Department of General Surgery, SMIH, Dehradun, Uttarakhand, India.

Received: July 07, 2025; Published:July 30, 2025

Abstract

Adult intussusception is a rare entity, accounting for only 1–5% of all intestinal obstructions and 5% of all intussusceptions [1]. Unlike the pediatric population where intussusception is commonly idiopathic and managed conservatively, adult cases are typically secondary to a pathological lead point. This case report presents a 43-year-old female with mid ileo-ileal intussusception in the setting of dengue seropositivity and systemic sepsis. Surgical intervention revealed a benign inflammatory fibroid polyp (IFP), a rare non-neoplastic lesion. This report revisits the surgical dilemma of whether resection is always warranted in adult intussusception or if a more conservative, selective approach can be justified in specific contexts supported by radiologic and intra-operative features. The case is supplemented with a review of contemporary literature and evolving practices.

Keywords:Intussusception; Adult

References

  1. Marinis A., et al. “Intussusception of the bowel in adults: a review”. World Journal of Gastroenterology4 (2009): 407-411.
  2. Azar T and Berger DL. “Adult intussusception”. Annals of Surgery2 (1997): 134-138.
  3. Wang N., et al. “Adult intussusception: a retrospective review”. World Journal of Gastroenterology26 (2009): 3303-3308.
  4. Nagorney DM., et al. “Surgical management of intussusception in the adult”. Annals of Surgery2 (1981): 230-236.
  5. Nonose R., et al. “Ileal inflammatory fibroid polyp causing intussusception: a case report”. Journal of Medical Case Reports 5 (2011): 67.
  6. Histopathology Report H/3266/25, SMIH Dehradun.
  7. Discharge Summary, SMIH Unit IV, 02/06/2025.
  8. CECT Abdomen Report, SMIH Radiology Department, 22/05/2025.

Citation

Citation: Vinay S Singh., et al. “Intussusception – To Resect or Not to Resect?".Acta Scientific Gastrointestinal Disorders 8.8 (2025): 24-26.

Copyright

Copyright: © 2025 Vinay S Singh., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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