case_images: PMC10854456_01
case_images: CT abdomen and pelvis with contrast from January 1, 2023. A) CT abdomen and pelvis coronal view. The dotted orange line indicates the corresponding level in Panel B. B) CT abdomen and pelvis axial view.
case_images: cureus-0016-00000052022-i01.jpg
case_images: PMC10854456_01_cureus-0016-00000052022-i01.jpg
case_images: FIG1
case_images: However, CT imaging (abdomen/pelvis with oral and IV contrast) at that time revealed no acute abnormality within the abdomen or pelvis (Figure 1).
case_images: CT abdomen and pelvis with contrast from February 22, 2023, demonstrating air bubbles and bowel thickening. A) CT abdomen and pelvis coronal view. The dotted orange line indicates the corresponding level in Panel B. Yellow arrows indicate a free-air bubble. Red arrows indicate bowel thickening. B) CT abdomen and pelvis axial view.
case_images: cureus-0016-00000052022-i02.jpg
case_images: PMC10854456_01_cureus-0016-00000052022-i02.jpg
case_images: FIG2
case_images: A CT of the abdomen pelvis with IV contrast revealed a mass of thickened bowel, mesenteric fat, and vascular pedicle within the midline pelvis (Figure 2). Within this vicinity and lower within the pelvis, imaging revealed areas of free fluid and small bubbles of free air at multiple locations (Figure 2).
case_images: Intussusception in the distal ileum. A) Initial laparoscopic view of ileo-ileal intussusception (white arrow) in the distal ileum. B) Additional view of intussusception (white arrow) in the distal ileum clearly showing the bowel telescoping.
case_images: cureus-0016-00000052022-i03.jpg
case_images: PMC10854456_01_cureus-0016-00000052022-i03.jpg
case_images: FIG3
case_images: An incidental ileo-ileal intussusception was discovered in the distal ileum with no leading tumor, polyp, or identifiable mass (Figure 3).
case_images: Reduced distal ileum intussusception, demonstrating dilated distal bowel. Laparoscopic view. A white arrow in the upper region demonstrates dilated distal bowel. The white arrow in the bottom region shows the now-reduced ileo-ileal intussusception.
case_images: cureus-0016-00000052022-i04.jpg
case_images: PMC10854456_01_cureus-0016-00000052022-i04.jpg
case_images: FIG4
case_images: A manual reduction of the intussusception was successfully accomplished (Figure 4).