Ileocecal Intussusception of the Adult Induced by the Gastrointestinal Stromal Tumor of the Ileocecal Valve - A Case Report

Adult intussusception is a rare entity which is distinct frompaediatric cases in incidence, aetiology, and management. It represents 5% of all intussusceptions and is the cause of 1% of allintestinal obstructions, 0,08% of all abdominal surgeries and 0,003-0,02% of all hospital admissions. Ileocolic intussusceptionin adults is a unique variant in which nearly 100% of cases havea malignant lead point. In our report, we described a case of apatient with ileocecal intussusception caused by a rare type of the gastro intestinal tumor. The female patient was admitted to hospital for occasional pain in the lower right quadrant of the abdomen followed by abdominal discomfort and appearance of blood in thestool. The result of CT scan of the abdomen and pelvis showed atumor mass and intussusception at the ileocecal junction, whichwas confirmed peroperatively. Open right hemicolectomy wasperformed adhering to oncological principles. The final pathologic diagnosis indicated the gastrointestinal stromal tumor of theileocecal valvе. The diagnosis of intussusception in adults is delicate, and timely surgical treatment can be vital. Patients with thepalpable abdominal mass, digestive tract obstruction, gastroin-testinal bleeding, or lead point computed tomography must undergo a surgical examination. Given a high risk of malignancy,primary surgical resection using oncologic principles presents the best option for the treatment of ileocecal intussusception inadults.