Vol. 8, Issue 1, Part B (2024)

Intussusception of the bowel is the telescoping of a proximal segment of the gastrointestinal tract within the lumen of an adjacent (distal) segment. This is a frequent and common condition present in children. It presents classically with the following triad: cramping abdominal pain, red recurrent jelly-like stools, and a palpable tender mass. In adults, it is a rare condition and accounts for almost 5% of all cases of intussusceptions and 1-5% of bowel obstruction. Most adult intussusceptions are idiopathic without a lead point lesion (8-20%). The causes of secondary intussusception are organic lesions like Meckel’s diverticulum, inflammatory bowel disease, post-operative adhesions, benign lesions, malignant lesions, metastatic neoplasms, tuberculosis, or even iatrogenic due to intestinal tubes, jejunostomy feeding tubes or after gastric surgery. Intussusceptions with and without a lead point can be differentiated by computed tomography (CT) and CT is, therefore, the investigation of choice. Surgery, which is the manual reduction of the intussuscepted bowel with or without resection and anastomosis, is the definitive treatment for adult intussusception. Here we report a case inadequately evaluated for right hypochondriac pain that was treated for calculus cholecystitis in the presence of asymptomatic gall stones where the patient primarily suffered from acute on chronic intestinal obstruction secondary to ileocolic intussusception.