Adult ileocolic intussusception caused by Vanek Tumor – an uncommon entity, a rare underlying cause

Abstract Text A 23-year-old woman presented with a 1-day history of cramping abdominal pain in the right inferior quadrant. She was stable on admission with no signs of peritoneal irritation. An abdominopelvic CT showed a 12-cm ileocolic intussusception. Colonoscopy revealed an extensive ileal invagination up to hepatic flexure, with a 40 mm pedunculated polyp as the leading point. Endoscopic reduction was not possible and an ileocolic resection was performed. Histopathology revealed a Vanek tumor, an uncommon benign submucosal connective tissue tumor. Intestinal intussusception, a rare cause of bowel obstruction in adults, is typically due to a pathologic lead point. Although efficient for the management of intussusceptions in children, colonoscopy has limited therapeutic role in adults, with intussusceptions being managed mostly with surgery. [1] [2] [3] [4]

Conflicts of interest

Authors do not have any conflict of interest to disclose.

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Publication History

Article published online:
15 April 2024