Acute Intestinal Intussusception Complicated by Peritonitis by Ileal Perforation in Pregnancy Apropos of A Case in the General and Visceral Surgery Department of the Ignace Deen National Hospital

Abstract

Acute intussusception is a rare manifestation in adults, most often of malignant tumoral origin occurring on a small intestine loop.
Its presence in a pregnant woman with a complication such as peritonitis by ileal perforation is an extremely rare case. We report a clinical case concerning a 32-year-old woman,amenorrhoeic for 24 weeks, referred to the general and visceral surgery department of the Ignace Deen National Hospital for acute intestinal obstruction in pregnancy in whom, after performing an X-ray of the abdomen without preparation which revealed mixed hydro-aeric levels and a biological assessment,she was taken to the block, at the celiotomy purulent liquid flowed out and the exploration revealed a pudding of ileo-coeco-colic intussusception whose disinvagination revealed three ileal perforations with respective diameters of 1.5cm, 2cm and 3cm located respectively 10cm, 30cm and 50cm from the ileocecal junction with pre-perforation zones. We performed a resection removing the perforations followed by an end-to-side ascending ileocecal anastomosis.The post-operative course was marred by complications such as evisceration, disembowelment and the birth of a full-term stillborn.