PMC6581979_01
Abdominal CT evidenced a complete bowel obstruction secondary to intestinal caliber change, at the level of bowel intussusception (arrow showing the  doughnut sign ).
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Abdominal CT evidenced a complete bowel obstruction secondary to small bowel intussusception (Fig. 1).
Intraoperative findings: A: Local recurrence in left iliac chain. B: Ileum-ileal intussusception at 50 cm from the ileocecal valve. C: Small bowel adenocarcinoma.
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The laparotomy confirmed small bowel obstruction, dependent on intussusception at 50 cm from the ileocecal valve (Fig. 2: intraoperative findings) and the lymphatic recurrence as well.