Spontaneous Ileoileal Intussusception in a Young Adult
An 18-years-old woman was admitted to emergency service with severe abdominal pain and nausea for the last two days. She denied any history of abdominal surgery or familial disease. Abdominal distension and rigidity were found and a 5 cm diameter mass was palpated during abdominal examination. Vital signs were insignificant. Leucocyte count was 18590/mm3. The abdominal X-ray revealed dilated bowel loops. Abdominal ultrasonography reported the case as suspicious of intussusception of ileum. Contrast-enhanced abdominal computed tomography (CT) revealed dilated small bowel loops due to ileoileal intussusceptions (target sign) and free fluid in the Douglas pouch (Figure 1 a, b).