Send to

Choose Destination
J Minim Access Surg. 2019 Feb 18. doi: 10.4103/jmas.JMAS_279_18. [Epub ahead of print]

Ileocolic invagination in adults: A totally minimally invasive endoscopic and laparoscopic staged approach.

Author information

Department of General Surgery, Poliambulanza Foundation Hospital, Brescia, Italy.
Department of General Surgery, University of Genoa, San Martino Hospital, Genova, Italy.
Department of Radiology, Poliambulanza Foundation Hospital, Brescia, Italy.
Department of Digestive Endoscopy Unit, Poliambulanza Foundation Hospital, Brescia, Italy.


Adult intussusception of the bowel is a rare clinical entity, and its management remains debated. The timing of treatment is not yet standardised, and no guidelines exist. We report a case of an 83-year-old woman presenting to the emergency department of our hospital with a history of increasing abdominal pain in the right iliac fossa. A contrast-enhanced computed tomography scan showed the presence of a large ileocolic intussusception with evidence of the terminal ileus invaginated within the right colon and the ileocolic vessels dragged and trapped into the intussusception. A colonoscopy confirmed the ileocolic invagination with a large right colonic lesion as leading point, and a partial pneumatic (carbon dioxide) and hydrostatic reduction was achieved. Subsequent laparoscopic right colectomy was performed according to oncological principles. A totally minimally invasive approach of this rare condition has been achieved but the literature lacks about the correct management of this entity.


Ileocolic invagination; intestinal intussusception; intestinal invagination


Supplemental Content

Loading ...
Support Center