Intestinal invagination in adults: preoperative diagnosis and management

Abstract

Preoperative diagnosis of intussusception was possible in most cases. Sonography and computed tomography proved the most effective and useful preoperative diagnostic methods. In adults colonic invagination is almost always malignant while small bowel is almost always benign. Invagination in adults must be clarified by surgery, and intestinal resection is the procedure of choice.

Adult ileocolic intussusception secondary to infectious enterocolitis: anecdotic cause of an uncommon condition

“…Abdominal ultrasound and CAT scans are widely available imaging studies capable of diagnosing intussusception and identifying the possible cause of this condition [5,6]. The findings on abdominal ultrasound and CAT scan of this patient were typical of intussusception, allowing preoperative diagnosis.…”

Spectrum of Etiology among Adult Intussusception Patients: Study of 11 Cases at a Tertiary Care Hospital in Bangladesh

“…Malignancy is found in up to 30.0% of the cases (Haas et al, 2003). In the Large intestine up to 66.0% of the cases are of malignant origin (Martin-Lorenzo et al, 2004). An intussusception usually has 3 parts like intussusceptum which is the inner tube (proximal bowel); 2 nd is the returning or the middle tube and the last one is the intussuscipiens which is the outer tube (Nagorney et al, 1981).…”

“…It was first reported by Barbette of Amsterdam in 1674 and a detailed report was further presented by John Hunter in 1789; however, Sir Jonathan Hutchinson was the first to operate on a child with intussusception in 1871 (Martin-Lorenzo et al, 2004). Intussusception is a very common disease of children, with a peak incidence between 5 months to 1 year of age, 90.0% of all cases being idiopathic.…”

Intussuscepção intestinal em adultos: relato de caso

“…On the other hand, the extent of resection and manipulation of the invaginated bowel during the reduction remains controversial 8 . Some authors suggest that resection should be performed without prior reduction for the following reasons: 1) possibility intraluminal spread of tumor or venous during the reduction; 2) risk of perforation and spread of microorganisms and tumor cells into the peritoneal cavity; 3) increased risk of complications after anastomosis made about manipulated intestinal tissue, friable and edematous 8,11 . Therefore ileocolic intussusception, ileocecal and colorectal colic, especially in patients over 60 years is of high risk of malignancy as etiological fator; should be resected without prior reduction.…”

“…Therefore ileocolic intussusception, ileocecal and colorectal colic, especially in patients over 60 years is of high risk of malignancy as etiological fator; should be resected without prior reduction. The resection should respect the oncologic principles and is recommended primary anastomosis between healthy and viable tissues 8,11,12 . In cases where the diagnosis is made preoperatively and benign lesions are well established, can be tried reduction and a more limited resection.…”