Intussusception is usually considered a childhood condition, but it may also be present in
adults, where it is more often associated with an underlying pathology. There is no agreement upon the
correct treatment of adult intussusception, although surgical intervention is considered necessary.
Resection without prior reduction has been the traditional treatment of choice due to the significant risk
for malignancy found in most series. We describe an unusual case of intestinal necrosis secondary to
ileoileal intussusception caused by Crohn's disease. A long intestinal resection was necessary and the
patient was discharged without major complications. Based on the details of this case, the authors
emphasize the potential importance of considering individualized treatment of adult intussusception.
The practical benefit for reduction of viable bowel in Crohn´s patients is the preservation of bowel
length.
