[A case of adult intussusception associated with Escherichia coli enterocolitis]

Nihon Shokakibyo Gakkai Zasshi. 2021;118(3):258-263. doi: 10.11405/nisshoshi.118.258.
[Article in Japanese]

Abstract

A 38-year-old man visited our hospital with a complaint of diarrhea and abdominal pain. Contrast-enhanced computed tomography showed that the ileocecal site was intussuscepted to the transverse colon without ischemia. After we reduced intussusception with an enema using a water-soluble contrast agent, his abdominal pain disappeared. Colonoscopy was performed immediately after reduction and showed erosion and edema at the ileocecal site without tumor. The stool culture at admission revealed verotoxin 1 producing Escherichia coli O-26;therefore, we established a diagnosis of intussusception associated with Escherichia coli enterocolitis. Bacterial enteritis should be considered as a potential cause in adult patients with intussusception.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Colon, Transverse*
  • Colonoscopy
  • Enterocolitis* / diagnostic imaging
  • Enterocolitis* / etiology
  • Escherichia coli
  • Humans
  • Intussusception* / diagnostic imaging
  • Intussusception* / etiology
  • Intussusception* / surgery
  • Male