A Rare Case of Ileal Intussusception Caused by Primary Small Bowel Trichobezoar and Meckel's Diverticulum in an Autistic Child
ABSTRACT Intussusception is a condition in which one part of the intestine slides into an adjacent part of the intestine. Intussusception is an important cause of an acute abdomen and the second most common cause of bowel obstruction in children. Trichobezoars, which are rare in children and often l...
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2025-08-01
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| Online Access: | https://doi.org/10.1002/ccr3.70745 |
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| author | Marwa Messaoud Habib Ullah Joya Amani N. Alansari Abir Jouini Amine Ksiaa Ahmed Zrig Lasaad Sahnoun |
| author_facet | Marwa Messaoud Habib Ullah Joya Amani N. Alansari Abir Jouini Amine Ksiaa Ahmed Zrig Lasaad Sahnoun |
| author_sort | Marwa Messaoud |
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| description | ABSTRACT Intussusception is a condition in which one part of the intestine slides into an adjacent part of the intestine. Intussusception is an important cause of an acute abdomen and the second most common cause of bowel obstruction in children. Trichobezoars, which are rare in children and often linked to psychiatric disorders, seldom cause intestinal intussusception. While Rapunzel syndrome—a form of gastric trichobezoar extending into the small bowel—is a recognized cause, primary small‐bowel trichobezoars are exceptionally rare. We report a unique pediatric case of ileo‐ileal intussusception triggered by a 30‐cm primary small‐bowel trichobezoar coexisting with Meckel's diverticulum, an association not previously documented. A 6‐year‐old autistic boy presented with symptoms suggestive of bowel obstruction. Imaging suggested small‐bowel intussusception related to Meckel's diverticulum. Surgery revealed an ileo‐ileal intussusception secondary to a 30‐cm obstructive trichobezoar located proximal to the invagination and an inflamed Meckel's diverticulum. The diverticulum was resected, the trichobezoar was removed, and ileo‐ileal anastomosis was performed, with no postoperative complications. The combination of a primary small‐bowel trichobezoar and Meckel's diverticulum leading to intussusception is exceedingly rare and poses unique diagnostic and therapeutic challenges, particularly in special pediatric populations. Early recognition and surgical intervention are essential to prevent bowel ischemia, perforation, and sepsis. |
| format | Article |
| id | doaj-art-31445dee77ad49a2a76e002462adeedd |
| institution | Kabale University |
| issn | 2050-0904 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | Wiley |
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| series | Clinical Case Reports |
| spelling | doaj-art-31445dee77ad49a2a76e002462adeedd2025-08-22T07:33:08ZengWileyClinical Case Reports2050-09042025-08-01138n/an/a10.1002/ccr3.70745A Rare Case of Ileal Intussusception Caused by Primary Small Bowel Trichobezoar and Meckel's Diverticulum in an Autistic ChildMarwa Messaoud0Habib Ullah Joya1Amani N. Alansari2Abir Jouini3Amine Ksiaa4Ahmed Zrig5Lasaad Sahnoun6Pediatric Surgery Department, Fattouma Bourguiba Hospital University of Monastir Monastir TunisiaDepartment of Pediatric Surgery Hamad Medical Cooperation Doha QatarDepartment of Pediatric Surgery Hamad Medical Cooperation Doha QatarPediatric Surgery Department, Fattouma Bourguiba Hospital University of Monastir Monastir TunisiaPediatric Surgery Department, Fattouma Bourguiba Hospital University of Monastir Monastir TunisiaRadiology Department, Fattouma Bourguiba Hospital University of Monastir Monastir TunisiaPediatric Surgery Department, Fattouma Bourguiba Hospital University of Monastir Monastir TunisiaABSTRACT Intussusception is a condition in which one part of the intestine slides into an adjacent part of the intestine. Intussusception is an important cause of an acute abdomen and the second most common cause of bowel obstruction in children. Trichobezoars, which are rare in children and often linked to psychiatric disorders, seldom cause intestinal intussusception. While Rapunzel syndrome—a form of gastric trichobezoar extending into the small bowel—is a recognized cause, primary small‐bowel trichobezoars are exceptionally rare. We report a unique pediatric case of ileo‐ileal intussusception triggered by a 30‐cm primary small‐bowel trichobezoar coexisting with Meckel's diverticulum, an association not previously documented. A 6‐year‐old autistic boy presented with symptoms suggestive of bowel obstruction. Imaging suggested small‐bowel intussusception related to Meckel's diverticulum. Surgery revealed an ileo‐ileal intussusception secondary to a 30‐cm obstructive trichobezoar located proximal to the invagination and an inflamed Meckel's diverticulum. The diverticulum was resected, the trichobezoar was removed, and ileo‐ileal anastomosis was performed, with no postoperative complications. The combination of a primary small‐bowel trichobezoar and Meckel's diverticulum leading to intussusception is exceedingly rare and poses unique diagnostic and therapeutic challenges, particularly in special pediatric populations. Early recognition and surgical intervention are essential to prevent bowel ischemia, perforation, and sepsis.https://doi.org/10.1002/ccr3.70745autismbowel obstructionintussusceptionMeckel's diverticulumprimary small bowel trichobezoars |
| spellingShingle | Marwa Messaoud Habib Ullah Joya Amani N. Alansari Abir Jouini Amine Ksiaa Ahmed Zrig Lasaad Sahnoun A Rare Case of Ileal Intussusception Caused by Primary Small Bowel Trichobezoar and Meckel's Diverticulum in an Autistic Child Clinical Case Reports autism bowel obstruction intussusception Meckel's diverticulum primary small bowel trichobezoars |
| title | A Rare Case of Ileal Intussusception Caused by Primary Small Bowel Trichobezoar and Meckel's Diverticulum in an Autistic Child |
| title_full | A Rare Case of Ileal Intussusception Caused by Primary Small Bowel Trichobezoar and Meckel's Diverticulum in an Autistic Child |
| title_fullStr | A Rare Case of Ileal Intussusception Caused by Primary Small Bowel Trichobezoar and Meckel's Diverticulum in an Autistic Child |
| title_full_unstemmed | A Rare Case of Ileal Intussusception Caused by Primary Small Bowel Trichobezoar and Meckel's Diverticulum in an Autistic Child |
| title_short | A Rare Case of Ileal Intussusception Caused by Primary Small Bowel Trichobezoar and Meckel's Diverticulum in an Autistic Child |
| title_sort | rare case of ileal intussusception caused by primary small bowel trichobezoar and meckel s diverticulum in an autistic child |
| topic | autism bowel obstruction intussusception Meckel's diverticulum primary small bowel trichobezoars |
| url | https://doi.org/10.1002/ccr3.70745 |
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