# Ileocolic intussusception secondary to Peutz-Jeghers polyp: the need for oncological resection surgery

## TL;DR

A woman with ileocolic intussusception and a family history of cancer underwent radical surgery, highlighting the need for aggressive treatment in adult intussusception due to cancer risks.

## Contribution

This case report advocates for radical oncological resection in adult intussusception despite benign histopathology findings.

## Key findings

- The patient's surgery included a right hemicolectomy and ovarian cystectomy.
- Histopathology revealed a Peutz-Jeghers polyp and benign thyroid tissue, with no malignancy detected.
- The case supports radical resection as a standard approach for adult intussusception due to malignancy risks.

## Abstract

In this case report, we detail the management of a woman in her late 30s with ileocolic intussusception, emphasizing the high malignancy risk inherent in adult intussusception cases. Given the patient’s acute symptoms and significant family history of ovarian and breast cancers, radical oncological resection was pursued. The surgical intervention comprised a right hemicolectomy and right ovarian cystectomy, with histopathological findings revealing a Peutz-Jeghers polyp and benign thyroid tissue, but no malignancy. This case underscores the imperative for a surgical approach that anticipates the potential for malignancy in adult intussusception, advocating for radical resection as a fundamental strategy, even in the absence of confirmed malignant histopathology, to ensure comprehensive management and alignment with oncological best practices.