A CASE OF ADULTHOOD INTUSSUSCEPTION OF THE SMALL INTESTINE OCCURRED DURING CONSERVATIVE THERAPY WITH AN ILEUS TUBE

Abstract

This paper reports a case of adulthood intussusception of the small intestine which occurred during suction depression therapy using an ileus tube.
An 89-year-old woman complaining of abdominal pain and vomiting was admitted to the hospital with a diagnosis of adhesive ileus. There was a previvous history of undergoing a cholecystectomy under laparotomy. Symptomatic remission was temporally attained by suction depression therapy using an ileus tube. On the 7th hospital day an abdominal pain occurred and intestinal bleeding was noted on the 9th hospital day.
Abdominal ultrasonography on the 11th day offered a diagnosis of intussusception and an emergency laparotomy was performed. During operation, anterograde jejuno-jejunal intussusception was found at about 70cm from the Treitz' ligament. A partial excision of the invaginated intestine with end-to-end anastomosis was performed.
When we encounter intensifying abdominal pain and vomiting during insertion of an ileus tube, abdominal ultrasonography and CT scan must be performed considering a possible onset of intussusception.