title: Enteric duplication cyst as a leading point for ileoileal intussusception in an adult: A rare cause of complete small intestinal obstruction.
abstract: Duplication of alimentary tract (DAT) presenting as an ileoileal intussusception is a very rare clinical entity. Herein, a case of an ileoileal intussusception due to DAT is presented. A 32-year-old woman was hospitalized due to diffuse, intermittent abdominal pain, vomiting and constipation for 3 d associated with abdominal distention. Plain abdominal X-ray revealed dilated small bowel. Abdominal computed tomography showed grossly dilated small bowel with "sausage" and "doughnut" signs of small bowel intussusception. She underwent laparotomy, with findings of ileoileal intussusception due to a cystic lesion adjacent to the mesenteric side. Resection of the cystic lesion along with the affected segment of intestine, with an end to end anastomosis was performed. The histopathology was consistent with enteric duplication cyst. This case highlights the DAT, although, an uncommon cause of adult ileoileal intussusception should be considered in the differential diagnosis of intussusception in adults, particularly when the leading point is a cystic lesion.
authors.affiliation: Hamad Hadi Al-Qahtani, Hepatobiliary Section, Department of Surgery, King Saud University, Riyadh 11574, Kingdom of Saudi Arabia.
authors.forename: Hamad Hadi
authors.initials: HH
authors.lastname: Al-Qahtani
keywords: Doughnut sign; Duplication of alimentary tract; Enteric cyst; Ileoileal intussusception; Small intestinal obstruction