Résumé

Introduction: The aim of this study was to describe the therapeutic aspects of a case of acute intussusception in adults. Clinical case: this is a 20-year-old lady, housewife residing in doghol Touma 100km, (pita), admitted on 23/09/2023, who presented abdominal pain and abdominal distension of progressive evolution for 48 hours, all pleading in favor of an acute intestinal obstruction. Resuscitation and a preoperative assessment were carried out, including abdominal ultrasound, ASP and biology. Under general anesthesia, we performed a median laparotomy, identified an ileo-ileal intestinal intussusception with loop necrosis and proceeded to a segmental resection of the necrotic intestine 1.5 meters followed by an immediate restoration of digestive continuity by a termino-terminal ileo-ileal anastomosis. Complementary appendectomy, toilet drain in the Douglas fir. The post-operative effects were simple. The length of hospital stay was 7 days. Conclusion: it is an infant condition, rare in adults. The diagnosis is most often intraoperatively aided by imaging. The prognosis is linked to the precocity of treatment.

Mot-clés :

Acute, Intestinal, Intussusception, Cep, Guinea