ABSTRACT

In spite of the fact that invagination is seen frequently in children, it is a rare clinical phenomenon in adults. Clinic presentation of invagination is diverse and might be with acute abdomen, ileus and rectal bleeding. Therefore, differential diagnosis includes a variety of diseases. It is idiopathic in children in 90% of cases. In adults, there is a well-definable cause of invagination in 70-90% of cases. Invaginations of small bowell are related to benign lesions in contrast to invaginations of colon which are caused by malign lesions. History and physical examination of the patient, use of imaging methods increases the chance of preoperative diagnosis. The treatment of invagination in adults is segmentary resection. In recent years, because of the advances in laparoscopic surgery, laparoscopic resection have become widespread. After diagnosing preoperatively ileocecal invagination in a 48 year old woman patient who was admitted to our hospital with the complaints of abdominal pain, nausea vomiting and rectal bleeding, laparoscopic segmentary resection and side to side ileotransversestomy was done. In this case report, the diagnosis and the treatment of invagination was examined in the light of literature and current approaches.