Adult ileal intussusception: An unusual emergency condition

Karamercan, Ahmet; Kurukahvecioğlu, Osman; Yılmaz, Tonguç Utku; Aygencel, Gülbin; Aytaç, Bülent; Şare, Mustafa

doi:10.1007/bf02850357

Cited by 34 publications

(42 citation statements)

References 20 publications

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“…Most studies reported that 60-80% of enteric intussusception were benign and 50-65% of colonic intussusception were malignancy [2,3,6,9,12,15,16]. In our series, 90.2% (N = 20/22) of enteric intussusception and 100% (N = 4/ 4) of ileocolic intussusception were benign lesions.…”

Section: Discussionmentioning

confidence: 45%

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A Clinical Overview of a Retrospective Study About Adult Intussusceptions: Focusing on Discrepancies Among Previous Studies

et al. 2008

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This study was to determine clinical entity of adult intussusception, focusing on discrepancies among previous studies and to retrospectively investigate the factors associated with malignancy and survival for 10 years. In our study, 3.7% (N = 42) of intussusception were adults. The most common symptom was acute abdominal pain (64.3%). Enteric, ileocolic, ileocecal, and colocolic intussusception included 52.4, 9.5, 14.3, and 23.8% of patients, respectively. Two patients (9.1%) with enteric (N = 22), no patient with ileocolic (N = 4), three patients (50%) with ileocecal (N = 6), and five patients (50%) with colocolic (N = 10) intussusception were malignant. The factor associated with malignancy was only chronic abdominal pain without acute abdominal pain (P = 0.018) and the absence of fever and ileocecal intussusception were associated with survival (P = 0.010, 0.009). In our study, the most common symptom was acute abdominal pain, and enteric intussusception was the most common type. The difference in clinical presentation and location of intussusception might have resulted from small number of cases or selection of cases.

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Section: Discussionmentioning

confidence: 45%

“…It differs from the childhood condition in its presentations, cause, and treatment [3]. Demonstrable etiology is found in 70-90% of cases of adult intussusception, and approximately 40% of them are caused by primary or secondary malignant neoplasm [4,5].…”

Section: Introductionmentioning

confidence: 99%

A Clinical Overview of a Retrospective Study About Adult Intussusceptions: Focusing on Discrepancies Among Previous Studies

et al. 2008

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“…Adult intussusception is a very rare condition, according for 1% of all adult bowel obstruction and occurs in only 5% to 16% of all intussuscepted cases [5] . About 70% to 90% of intussusception cases are due to benign or malignant neoplasms as a lead point and IFPs, lipomas and adenomas are the benign causes of intussusception [6] . The preoperative diagnosis of intussusception is controversial.…”

Section: Discussionmentioning

confidence: 99%

A Case of an Ileal Inflammatory Fibroid Polyp Causing Intestinal Intussusception

Nemoto

Kaneko²,

Fujisaki³

et al. 2015

Journal of Gastroenterology and Hepatology Research

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Inflammatory fibroid polyp (IFP) usually appears as a solitary benign lesion, rarely located in the ileum. The clinical presentation varies according to its location, frequently they are mistaken as gastrointestinal (GI) neoplasia. Intussusception and obstruction are the most frequent initial symptoms when the polyp is located in the small intestine. A thirty nine years old man presented with upper abdominal pain. Though he prescribed anti biotic medicine, his intermittent pain continued. He presented to hospital two days later, and abdominal ultrasound (US) detected intestinal intussusception. Abdominal computed tomography (CT) and oral ileal barium study also revealed ileal mass. So he had partial ilectomy on the seventh hospital day. Pathology showed it IFP in small intestine. Intussusception secondary to IFPs of the small intestine is difficult to diagnose without recognition of its clinical and pathological characteristics. Abdominal US is useful in confirming an anatomical abnormality, histological examination establishes the final diagnosis of IFPs. Abdominal US detected an intussusception with a mass lesion at its lead point.

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“…In the oesophagus the rare case of IFPs can present with bleeding, dysphagia or reflux symptoms (4). About 70% to 90% of intussusception cases are due to benign or malignant neoplasms as a lead point and IFPs, lipomas and adenomas are the benign causes of intussusception (6).…”

Section: Discussionmentioning

confidence: 99%