Asian Journal of Case Reports in Surgery

Ileo-colo-rectal Intussusception Secondary of Cecal Lipoma Simulating Strangulated Rectal Prolapse

Fatimazahra Bensardi

Department of Visceral Surgical Emergencies (P35), CHU Ibn Rochd, Casablanca, Morocco.

Issam Hamrerras *

Department of Visceral Surgical Emergencies (P35), CHU Ibn Rochd, Casablanca, Morocco and CHU Ibn Rochd Casablanca, Morocco.

Abdelillah El Bakouri

Department of Visceral Surgical Emergencies (P35), CHU Ibn Rochd, Casablanca, Morocco.

Khalid El Hattabi

Department of Visceral Surgical Emergencies (P35), CHU Ibn Rochd, Casablanca, Morocco.

Abdelaziz Fadil

Department of Visceral Surgical Emergencies (P35), CHU Ibn Rochd, Casablanca, Morocco.

*Author to whom correspondence should be addressed.

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Abstract

Acute intussusception determines a case of severe occlusive. it is a rare clinical entity in adults. It is most often for small bowel, with a difficult clinical diagnosis, but facilitated by imaging assessment, mainly the abdominal computed tomography CT scan, which permits to make the diagnosis and to find the etiology with certainty. The treatment of intestinal intussusception in adults is always surgical, the use of pathophysiology is necessary for diagnostic confirmation; it is usually secondary to a sub mucosal lipoma. We report the case of a patient admitted in our emergency for an ileal-coeco-colo-rectal invagination prolapsed across the anus, which simulated a strangulated rectal prolapse.

Keywords: Acute intestinal intussusceptions, cecal lipoma, strangulated rectal prolapse

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