Skip to main navigation menu Skip to main content Skip to site footer

Case Report

Vol. 9 No. 1 (2006)

Ileoileal intussusception as initial manifestation of Crohn’s disease

  • López-Tomassetti Fernández E. M.
  • Lorenzo Rocha N.
  • Arteaga González I.
  • Carillo Pallarés A.
November 4, 2020


Intussusception is usually considered a childhood condition, but it may also be present in adults, where it is more often associated with an underlying pathology. There is no agreement upon the correct treatment of adult intussusception, although surgical intervention is considered necessary. Resection without prior reduction has been the traditional treatment of choice due to the significant risk for malignancy found in most series. We describe an unusual case of intestinal necrosis secondary to ileoileal intussusception caused by Crohn's disease. A long intestinal resection was necessary and the patient was discharged without major complications. Based on the details of this case, the authors emphasize the potential importance of considering individualized treatment of adult intussusception. The practical benefit for reduction of viable bowel in Crohn ́s patients is the preservation of bowel length.


  1. Shah A, Roberts J, Lipsky H, et al. Enteroenteric intussusception: an unusual presentation of Crohn's disease in an adult patient. Am J Gastroenterol 1995; 90:2231-2.
  2. Wolff B. Surgery for distal small bowel, colonic, and anorectal crohn's disease. In: Zuidema GD, Yeo CJ (editors): Shackelford's Surgery of the Alimentary Tract. Philadelphia: WB Saunders, 2002, pp 105-116.
  3. Cohen DM, Conard FU, Treem WR, et al. Jejunojejunal intussusception in Crohn's disease. J Pediatr Gastroenterol Nutr 1992;14:101-3.
  4. Begos DG, Sandor A, Modlin IM. The diagnosis and management of adult intussusception. Am J Surg 1997;173:88- 94.
  5. Huang BY, Warshauer DM. Adult intussusception: diagnosis and clinical relevance. Radiol Clin North Am 2003;41:1137-51.
  6. Byrne AT, Geoghegan T, Govender P, et al. The imaging of intussusception. Clin Radiol 2005;60:39-46.
  7. Weilbaecher D, Bolin JA, Hearn D, et al. Intussusception in adults. Review of 160 cases. Am J Surg 1971;121:531-5.
  8. Eisen LK, Cunningham JD, Aufses AH Jr. Intussusception in adults: institutional review. J Am Coll Surg 1999;188:390-5.
  9. Kihiczak D, Rosenfeld DL. Crohn's disease presenting as intermittent ileocolic intussusception. Clin Pediatr 1998;37:635-8.
  10. Knowles MC, Fishman EK, Kuhlman JE, et al. Transient intussusception in Crohn's disease: CT evaluation. Radiology 1989;170:814.
  11. Yamamoto T, Allan RN, Keighley MR. Long-term outcome of surgical management for diffuse jejunoileal Crohn's disease. Surgery 2001;129:96-102.


Download data is not yet available.