A Rare Cause of Small Bowel Intussusception: Non-Meckel Diverticula in an Adult Patient

Intussusception involves telescoping of a proximal bowel segment into a distal segment. Non-Meckel small bowel diverticula are rare and typically asymptomatic. We report a 37-year-old man with Crohn's disease presenting with persistent abdominal pain despite normal colonoscopies and inflammatory markers. Magnetic resonance enterography and capsule endoscopy revealed concentric small bowel thickening; double-balloon enteroscopy identified a large diverticulum in the ileum. Surgical resection was performed, with pathology revealing non-Meckel diverticula, and symptom resolution postoperatively. This case underscores the importance of advanced imaging in diagnosis and consideration of small bowel diverticula in the differential diagnosis for abdominal pain.

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Publication Details

Journal
ACG Case Reports Journal
Published
2025-11-27
DOI
https://doi.org/10.14309/crj.0000000000001895
Primary Topic
Gastrointestinal disorders and treatments
Type
article
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article

A Rare Cause of Small Bowel Intussusception: Non-Meckel Diverticula in an Adult Patient

Daniel Ludi, Leandro Fernández, Mohamad A. Abdulhai, Ece Mutlu
ACG Case Reports Journal
Gastrointestinal disorders and treatments
article

A Rare Cause of Small Bowel Intussusception: Non-Meckel Diverticula in an Adult Patient

Daniel Ludi, Leandro Fernández, Mohamad A. Abdulhai, Ece Mutlu
article en

Abstract

Intussusception involves telescoping of a proximal bowel segment into a distal segment. Non-Meckel small bowel diverticula are rare and typically asymptomatic. We report a 37-year-old man with Crohn's disease presenting with persistent abdominal pain despite normal colonoscopies and inflammatory markers. Magnetic resonance enterography and capsule endoscopy revealed concentric small bowel thickening; double-balloon enteroscopy identified a large diverticulum in the ileum. Surgical resection was performed, with pathology revealing non-Meckel diverticula, and symptom resolution postoperatively. This case underscores the importance of advanced imaging in diagnosis and consideration of small bowel diverticula in the differential diagnosis for abdominal pain.

ACG Case Reports JournalVol. 12(12)
University of Illinois Chicago (US)
Openalex Percentile: Top 43%
Gastrointestinal disorders and treatments
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