TITLE:
Intestinal Invagination in Adults: About a Case at the “Mother-Child” Hospital Le Luxembourg in Mali
AUTHORS:
Cheickna Tounkara, Oumar Amadou Malle, Amara Coulibaly, A. Boubacar Maiga, Sory Ibrahim Diawara, Kassim Kayentao, Bakary Tientigui Dembele, Alhassane Traore, Adégné Pierre Togo, Lassana Kante
KEYWORDS:
Acute Intestinal Intussusception, Organic Etiology, Digestive Lymphoma, Mali
JOURNAL NAME:
Surgical Science,
Vol.14 No.9,
September
28,
2023
ABSTRACT: Intussusception is a pathology of infants and young
children. Its occurrence in adults is very unusual. In the vast majority of
cases, it is secondary to a benign or malignant tumor. Small bowel malignancies
are relatively rare, 1% - 5% of malignant tumors of the gastrointestinal tract. Acute
intussusception, a rare pathology in adults, often presents with non-specific
symptoms. Contrary to children, the organic origin remains preponderant in the
elderly, where the origin of neoplasia must be suspected in first intention. We report the case of a 49-year-old patient admitted
urgently from the Luxembourg “Mère Enfant” hospital center in Bamako, Mali, for
an occlusive syndrome. Several abdomino-pelvic ultrasounds were performed in
several clinics with mixed conclusions: Hydro-aeric distension and a cessation
of matter and gas without a clearly visible mass (04/09/2022); Demonstration of
the central hydro-aeric levels wider than high containing fine and regular
folds corresponding to connivents whose aspect is in factor of left acute small
intestine occlusion, to be completed by the surgical opinion (06/09/2022) and a
third ultrasound showed a normal appearance of the liver, gallbladder, kidneys,
pancreas, spleen, bladder and prostate; diffuse aero-colic distention without
lesion of secondary appearance (21/11/2022). A frontal standing ASP dated
11/25/2022 showed hail-like hydro-aeric levels. Surgical management consisted of an open oncological
resection of an obstructive bowel tumor with ileo-ileal invagination. The
anatomopathological and immunohistochemical study of the surgical specimen
concluded to diffuse small cell non-Hodgkin’s lymphoma, without vascular
embolism. The resection limits pass into the healthy zone.