The diagnosis and management of adult intussusception

While intussusception is relatively common in children, it is a rare clinical entity in adults, where the condition is almost always secondary to a definable lesion. Thirteen cases of intussusception occurring in individuals older than 16 were encountered at our institute between 1981 and 1994. Pres...

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Veröffentlicht in:The American journal of surgery 1997-02, Vol.173 (2), p.88-94
Hauptverfasser: Begos, Dennis G., Sandor, Andras, Modlin, Irvin M.
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creator Begos, Dennis G.
Sandor, Andras
Modlin, Irvin M.
description While intussusception is relatively common in children, it is a rare clinical entity in adults, where the condition is almost always secondary to a definable lesion. Thirteen cases of intussusception occurring in individuals older than 16 were encountered at our institute between 1981 and 1994. Presenting signs/symptoms included recurrent bowel obstruction, intermittent pain, and red blood per rectum. Correct preoperative diagnosis was made in six patients using colonoscopy, flexible sigmoidoscopy, upper gastrointestinal (GI) series and computed tomography (CT). At surgery the lead point was identified in the small intestine in eight cases, in the colon in four cases, and one small intestinal intussusception was considered idiopathic. Twelve patients underwent laparotomy and one patient was both diagnosed and treated by colonoscopy alone. Adult intussusception is an unusual cause of bowel obstruction. The likelihood of neoplasia, particularly in the colon as a cause, is high. Operative management is thus almost always necessary.
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subjects Adolescent
Adult
Aged
Aged, 80 and over
Biological and medical sciences
Biopsy
Colon
Colon - diagnostic imaging
Colonoscopy
Computed tomography
Diagnosis
Female
Gastroenterology. Liver. Pancreas. Abdomen
Humans
Intestinal Diseases - complications
Intestinal Diseases - diagnosis
Intestinal Neoplasms - complications
Intestinal Neoplasms - diagnosis
Intestinal obstruction
Intestine
Intestine, Small - diagnostic imaging
Intussusception
Intussusception - diagnosis
Intussusception - etiology
Intussusception - surgery
Laparotomy
Male
Medical sciences
Middle Aged
Other diseases. Semiology
Patients
Recurrence
Sigmoidoscopy
Small intestine
Stomach. Duodenum. Small intestine. Colon. Rectum. Anus
Tomography, X-Ray Computed
title The diagnosis and management of adult intussusception
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