Adult intussusception: case reports and review of literature

Adult intussusception occurs infrequently and differs from childhood intussusception in its presentation, aetiology, and treatment. Diagnosis can be delayed because of its longstanding, intermittent, and non-specific symptoms and most cases are diagnosed at emergency laparotomy. With more frequent u...

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Bibliographic Details
Published in:Postgraduate Medical Journal 2005-03, Vol.81 (953), p.174-177
Main Authors: Yalamarthi, S, Smith, R C
Format: Article
Language:English
Subjects:
Abdomen
Abdominal Pain - etiology
Adult
adult intussusception
Adults
Aged
Aged, 80 and over
Barium
Biological and medical sciences
Child
Endoscopy
Female
General aspects
Hemorrhage
Humans
Intussusception - diagnosis
Intussusception - surgery
Irritable bowel syndrome
Male
Meckel Diverticulum - diagnosis
Meckel Diverticulum - surgery
Medical sciences
Middle Aged
Pain
Pathology
Review
Tomography
Tomography, X-Ray Computed
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Summary:Adult intussusception occurs infrequently and differs from childhood intussusception in its presentation, aetiology, and treatment. Diagnosis can be delayed because of its longstanding, intermittent, and non-specific symptoms and most cases are diagnosed at emergency laparotomy. With more frequent use of computed tomography in the evaluation of patients with abdominal pain, the condition can be diagnosed more reliably. Treatment entails simple bowel resection in most cases. Reduction of the intussusception before resection is controversial, but there is a shift against this, especially in colonic cases. Surgical treatment can be difficult in gastroduodenal and coloanal intussusceptions, sometimes requiring innovative techniques. This paper presents the diagnosis and management of four cases of adult intussusception, followed by review of the literature.
ISSN:0032-5473
1469-0756
DOI:10.1136/pgmj.2004.022749