A Rare Case of Ileal Intussusception Caused by Primary Small Bowel Trichobezoar and Meckel's Diverticulum in an Autistic Child

<div><p>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...

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Main Author: Marwa Messaoud (22827959) (author)
Other Authors: Habib Ullah Joya (22047863) (author), Amani N. Alansari (19743643) (author), Abir Jouini (22928719) (author), Amine Ksiaa (22928722) (author), Ahmed Zrig (22928725) (author), Lasaad Sahnoun (22928728) (author)
Published: 2025
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_version_ 1864513525534162944
author Marwa Messaoud (22827959)
author2 Habib Ullah Joya (22047863)
Amani N. Alansari (19743643)
Abir Jouini (22928719)
Amine Ksiaa (22928722)
Ahmed Zrig (22928725)
Lasaad Sahnoun (22928728)
author2_role author
author
author
author
author
author
author_facet Marwa Messaoud (22827959)
Habib Ullah Joya (22047863)
Amani N. Alansari (19743643)
Abir Jouini (22928719)
Amine Ksiaa (22928722)
Ahmed Zrig (22928725)
Lasaad Sahnoun (22928728)
author_role author
dc.creator.none.fl_str_mv Marwa Messaoud (22827959)
Habib Ullah Joya (22047863)
Amani N. Alansari (19743643)
Abir Jouini (22928719)
Amine Ksiaa (22928722)
Ahmed Zrig (22928725)
Lasaad Sahnoun (22928728)
dc.date.none.fl_str_mv 2025-08-04T03:00:00Z
dc.identifier.none.fl_str_mv 10.1002/ccr3.70745
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/A_Rare_Case_of_Ileal_Intussusception_Caused_by_Primary_Small_Bowel_Trichobezoar_and_Meckel_s_Diverticulum_in_an_Autistic_Child/30971515
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biomedical and clinical sciences
Clinical sciences
Paediatrics
autism
bowel obstruction
intussusception
Meckel's diverticulum
primary small bowel trichobezoars
dc.title.none.fl_str_mv A Rare Case of Ileal Intussusception Caused by Primary Small Bowel Trichobezoar and Meckel's Diverticulum in an Autistic Child
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <div><p>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.</p><p> </p></div><h2>Other Information</h2> <p> Published in: Clinical Case Reports<br> License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1002/ccr3.70745" target="_blank">https://dx.doi.org/10.1002/ccr3.70745</a></p>
eu_rights_str_mv openAccess
id Manara2_3bd9bda2e12ddd997b66eb76cf8d393e
identifier_str_mv 10.1002/ccr3.70745
network_acronym_str Manara2
network_name_str Manara2
oai_identifier_str oai:figshare.com:article/30971515
publishDate 2025
repository.mail.fl_str_mv
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rights_invalid_str_mv CC BY 4.0
spelling A Rare Case of Ileal Intussusception Caused by Primary Small Bowel Trichobezoar and Meckel's Diverticulum in an Autistic ChildMarwa Messaoud (22827959)Habib Ullah Joya (22047863)Amani N. Alansari (19743643)Abir Jouini (22928719)Amine Ksiaa (22928722)Ahmed Zrig (22928725)Lasaad Sahnoun (22928728)Biomedical and clinical sciencesClinical sciencesPaediatricsautismbowel obstructionintussusceptionMeckel's diverticulumprimary small bowel trichobezoars<div><p>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.</p><p> </p></div><h2>Other Information</h2> <p> Published in: Clinical Case Reports<br> License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1002/ccr3.70745" target="_blank">https://dx.doi.org/10.1002/ccr3.70745</a></p>2025-08-04T03:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1002/ccr3.70745https://figshare.com/articles/journal_contribution/A_Rare_Case_of_Ileal_Intussusception_Caused_by_Primary_Small_Bowel_Trichobezoar_and_Meckel_s_Diverticulum_in_an_Autistic_Child/30971515CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/309715152025-08-04T03:00:00Z
spellingShingle A Rare Case of Ileal Intussusception Caused by Primary Small Bowel Trichobezoar and Meckel's Diverticulum in an Autistic Child
Marwa Messaoud (22827959)
Biomedical and clinical sciences
Clinical sciences
Paediatrics
autism
bowel obstruction
intussusception
Meckel's diverticulum
primary small bowel trichobezoars
status_str publishedVersion
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 A Rare Case of Ileal Intussusception Caused by Primary Small Bowel Trichobezoar and Meckel's Diverticulum in an Autistic Child
topic Biomedical and clinical sciences
Clinical sciences
Paediatrics
autism
bowel obstruction
intussusception
Meckel's diverticulum
primary small bowel trichobezoars