Adult intussusception of the small intestine caused by cystic fibrosis: a case report, review of the literature, and guide for management

Abstract

Intussusception, an uncommon but potentially severe condition primarily associated with infants and young children, can also present in adults, posing distinct challenges in diagnosis and treatment. This report presents the case of a 22-year-old male with cystic fibrosis, who developed intussusception due to severe constipation in his distal gastrointestinal tract. The patient’s initial presentation included abdominal pain, constipation, and abnormal laboratory results. Computed tomography scans revealed intussusception affecting the ascending colon and cecum, necessitating surgical intervention and subsequent bowel resection. In adults, the presence of intussusception often triggers suspicion of underlying pathological lead points. However, in this instance, the root cause was attributed to cystic fibrosis induced constipation. Current evidence suggests limited efficacy with conservative treatment, with bowel resection being the most definitive treatment option. Further research is warranted to establish comprehensive guidelines for managing this uncommon condition, particularly when intertwined with cystic fibrosis.

Diagnosis and Management of Gastrointestinal Manifestations in Children with Cystic Fibrosis

“…Mechanically described as "telescoping", it commonly involves the ileum and cecum, with the mesentery's potential incorporation elevating the risk of ischemia and necrosis [96]. An unusual manifestation results from CF-induced constipation, demanding a thorough diagnostic evaluation to exclude other CF-associated G-I conditions [97].…”