Laparoscopic Management of Adult Ileocolic Intussusception Secondary to an Inverted Meckel's Diverticulum

Intussusception is the telescoping of one part of the bowel into an adjacent part, and it is most common in the pediatric population. In the adult population, intussusception is rare; however, it is likely secondary to a pathological lead point, such as a neoplasm. Intussusception has been described secondary to Meckel's diverticulum, but ileocolic intussusceptions from an inverted Meckel's diverticulum are rare. We describe here a rare case of a 33-year-old male with no past medical or surgical history presenting with an acute abdomen and imaging findings of ileocolic intussusception with bowel ischaemia. He underwent an emergency laparoscopy, where reduction was attempted but unsuccessful and an ileocolic resection was performed. Histological findings were consistent with ileocolic intussusception containing an inverted Meckel's diverticulum as a lead point. Surgical reduction and/or resection remain the mainstay of treatment when they present hemodynamically unstable and/or concerns for bowel ischaemia/perforation.