Bowel intussusception in adult: Prevalence, diagnostic tools and therapy

Panzera, Francesco; Venere, Beatrice Di; Rizzi, Marina; Biscaglia, Assunta; Praticò, Carlos Alberto; Nasti, Gennaro; Mardighian, Andrea; Nunes, Thiago Franchi; Inchingolo, Riccardo

doi:10.5662/wjm.v11.i3.81

Cited by 49 publications

(74 citation statements)

References 27 publications

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“…[19][20] Another study reported surgery as the modality of treatment in patients with clinical features of acute abdomen, clinical or radiological signs of bowel obstruction, peritonism, septic shock, intussusception with a mass visible on CT scan, patients with a diagnosis of colonic or ileocolic intussusception (often associated with malignancy), even in the absence of acute abdomen. [21]…”

Section: Discussionmentioning

confidence: 99%

Jejunojejunal intussusception in an adult: a rare presentation of abdominal pain in the emergency department

et al. 2021

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Abdominal pain is a common presentation to the emergency department (ED) and the differential diagnoses is broad. Intussusception is more common in children, with only 5% of cases reported in adults. 80%–90% of adult intussusception is due to a well-defined lesion resulting in a lead point, whereas in children, most cases are idiopathic. The most common site of involvement in adults is the small bowel. Treatment in adults is generally operative management whereas in children, a more conservative approach is taken with non-operative reduction. We present a case of a 54-year-old woman who presented to our ED with severe abdominal pain and vomiting. CT of the abdomen revealed a jejunojejunal intussusception. The patient had an urgent laparoscopy and small bowel resection of the intussusception segment was performed. Histopathological examination of the resected specimen found no pathologic lead point and, therefore, the intussusception was determined to be idiopathic.

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Section: Discussionmentioning

confidence: 99%

Jejunojejunal intussusception in an adult: a rare presentation of abdominal pain in the emergency department

et al. 2021

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“…Typical clinical presentations include colicky abdominal pain, mucus or blood-tinged stool, emesis, diarrhea [ 5 , 6 ], and a palpable mass on the abdomen during physical examination [ 6 ]. Small bowel intussusception is more expected in the pediatric population and is rare among adults, accounting for less than 5% of all cases [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

“…The causes of intussusception in adults are diverse. Many etiologies such as neoplasms, enteric autoimmune pathologies, history of intra-abdominal surgeries, and gynecologic conditions such as endometriosis are known to cause intussusception [ 7 ]. The common complications associated with this condition include small bowel obstruction (SBO), bowel ischemia, necrosis, bowel perforation with peritonitis, and sepsis [ 8 ], as a result requiring urgent care [ 1 , 9 ].…”

Section: Introductionmentioning

confidence: 99%

“…Management for adult patients with presenting signs and symptoms suggestive of intussusception or other obstructive bowel pathologies often involves detection via an abdominal computed tomography (CT) scan [ 10 , 11 ], which is often the gold standard for early detection [ 7 , 11 ]. In contrast to the pediatric population, where endoscopy is diagnostic and usually therapeutic, intussusceptions are beyond the reach of endoscopes in their geriatric counterparts.…”

Section: Introductionmentioning

confidence: 99%

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Intussusception in the Geriatric Population: A Case Report

Boucher¹,

Fleites²,

Varghese³

et al. 2022

Cureus

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Recurrent abdominal pain in the adult population is a complex symptom with a broad spectrum of diagnoses. The diagnosis of intussusception in the elderly is considerably rarer than in the younger population. High clinical suspicion is required, and imaging is needed for confirmation. Here, we present and discuss the clinical course and management of an 82-year-old female who underwent small bowel resection following recurrent intussusception that was confirmed by imaging and at the time of surgery. The patient was known for having a history of polyps, and the pathology report described a large tubulovillous adenoma found on the resected small bowel specimen. The patient was discharged after surgery with complete remission. This case report intends to explore the importance of surgical intervention versus conservative management in a patient with a similar clinic presentation. This report also intends to highlight the importance of surgical intervention to prevent intussusception-related complications and reduce patient mortality further.

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“…This long latency period along with the variability in presentation makes diagnosis difficult. Although surgery is considered the standard of care in adult intussuception [5] , [7] , the literature lacks consensus on the optimal management and definitive surgical approach. It is thus essential to recognize the possible presentations and add management strategies to the literature.…”

Section: Introductionmentioning

confidence: 99%