Intestinal intussusception in adults-our experience and review of the literature

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2007 (EN)
Intestinal intussusception in adults-our experience and review of the literature (EN)

I. Galatianos, I. Aslanidou, C. Mirelis, C. Kontos, T.B. Papaziogas, T.E. Pavlidis, K.S. Atmatzidis,

SUMMARY Intestinal intussusception in adults is usually secondary, rather than primary as in infants. It may lead to obstruction and even strangulation with necrosis. To present our experience on this unusual situation and review the relevant bibliography is the aim of this study. A retrospective survey over the past twelve years found seven patients with acute intestinal intussusception (median age of 56 years, range 28 to 75), among 368 cases of operated intestinal obstruction (1.9%). Clinical examination and plain abdominal radiography made the pre-operative diagnosis of obstructive ileus. The intra-operative diagnosis of intussusception included ileo-cecal (n=4), ileo-iliac (n=2) and jejuno-jejunal (n=1) type. Operation was reduction with removal of the causative factor (n=5) and a right colectomy (n=2). The cause was carcinoma of ceacum (n=2), leimyoma of small intestine (n=2), polyp of terminal ileum (n=2, one in Peutz-Jeghers syndrome) and a tube of feeding jejunostomy (n=1). All patients had an uneventful postoperative course. Intestinal intussusception in adults is a rare cause of obstruction induced by various benign or malignant intraluminal lesions. Their nature determines the kind of operation. Key words: intestinal intussusception, invagination, intestinal obstruction, obstructive ileus. (EN)




Hellenic Society of Gastroenterology (EN)

Annals of Gastroenterology; Volume 17, No 1 (2004) (EN)

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