Gastroenterology Research, ISSN 1918-2805 print, 1918-2813 online, Open Access
Article copyright, the authors; Journal compilation copyright, Gastroenterol Res and Elmer Press Inc
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Case Report

Volume 15, Number 5, October 2022, pages 278-283

Adult Intussusception in Chronic Marijuana Users


Figure 1.
Figure 1. Computed tomography (CT) scan (sagittal with arrow) showing telescoping of small bowel within itself consistent with small bowel intussusception with no evidence of inflammation in the colon or appendix.
Figure 2.
Figure 2. Computed tomography (CT) scan (coronal with arrow) of abdomen showing terminal ileum intussusception into the colon.
Figure 3.
Figure 3. Computed tomography (CT) scan (sagittal with arrow) showing jejuno-jejunal intussusception in the left mid-abdomen with colon wall thickening.
Figure 4.
Figure 4. Computed tomography (CT) of abdomen (coronal with arrow) showing small bowel short segment intussusception areas without proximal dilatation.


Table 1. Reported Cases of Adult Intussusception in Chronic Marijuana Users
Author (year) (Ref)Geographic regionNumber of casesAge (years)SexPresenting symptomsMarijuana use frequencyLocationLead pointInterventionLength of stay
Fernandez-Atutxa et al (2017) [9]Spain326a2M/1FAbdominal pain, emesisDailyJejuno-jejunalNoneTwo spontaneous resolution; one laparoscopy with negative findingsNot available
Prokopchuk et al (2019) [8]Germany130MAbdominal pain, diarrhea, emesisDailyJejuno-jejunalNoneDiagnostic laparoscopy with manual reduction2 days
Khan et al (2019) [5]USA122FAbdominal pain, vomiting and diarrheaDailyJejuno-jejunalNoneSpontaneous resolution2 days
Zaidi et al (2020) [1]USA122FAbdominal pain, nausea, emesis, diarrheaDailyJejuno-jejunalNoneSpontaneous resolution4 days
Kakish (2020) et al [7]USA1127a6M/5FAbdominal pain, emesisChronicJejuno-jejunalNoneTen spontaneous resolutions; one laparoscopic manual reductionConservative: 2.4a days; Surgery: 2.5a days
Silva et al (2021) [6]USA126FAbdominal pain, obstipation2 - 3 times a weekColocolicNoneDiagnostic laparoscopy with spontaneous resolution5 days
Kothadia et al (present cases)USA431a3M/1FAbdominal pain, emesisDailyThree Jejuno-jejunal; one terminal ileum-ascending colonNoneOne laparoscopic reduction; three spontaneous resolutions2 - 3 days