Surgery Department Jars
| Description | Ileo-ileal intussusception which is still viable |
| Author | SURGERY DEPARTMENT |
| Copyright | Faculty of Medicine - Cairo University |
Description
This jar contains a segment of the small intestine, as evidenced by the
absence of taenia coli on its outer surface. The wall is slit
longitudinally to reaveal invagination of loop of the bowel into the
adjacent loop, i.e., ileo-ileal intussusception. The invaginated part (intussusceptum)
looks viable.
Diagnosis
Ileo-ileal intussusception which is still viable. There is no evident
predisposing factor.
Common questions that you may be
asked
Q: Is it a common form of intussusception?
A. No, the common form is the idiopathic ileo-caecal intussusception of
infants.
Q. What are the possible
predisposing factors of ileo-ileal intussusception?
A. There is usually a predisposing
factor such as a benign tumour that projects into the lumen thus
inducing hyperperistalsis, or a Meckel's diverticulum with projecting
heterotopic epithelium at its base. In this case the predisposing factor
is not apparent.
Q. What are the possible
complications?
A. Bowel obstruction produces
dehydration, electrolyte deficiency and hypovolaemic shock. If
strangulation sets in the situation is more dangerous as gangrene is
followed by perforation, peritonitis and septicaemia.
Q. Can this be an operative
specimen?
A. Yes, if there is a predisposing
factor, e.g., a benign tumour of this segment of small bowel. In this
case the affected part of intestine is excised, even if it is viable.
This is because simple reduction without getting rid of the predisposing
factor will lead to recurrence.