Intussusception in adults: a retrospective study

Abstract

The features of intussusception may be nonspecific and the diagnosis is often made only during laparotomy. An identifiable organic lesion is present in most cases. En bloc resection is recommended for ileocaecal and colocolic intussusception.

Treatment of adult idiopathic ileocolic intussusception with non-operative reduction under fluoroscopic guidance

“…Even then, preoperative diagnosis rates still varies from 50% to 90% according to the literature [5,6]. Due to the high probability of malignancy as the cause of intestinal intussusception in adults, surgical resection is often viewed as the treatment of choice [6,7].…”

“…Even then, preoperative diagnosis rates still varies from 50% to 90% according to the literature [5,6]. Due to the high probability of malignancy as the cause of intestinal intussusception in adults, surgical resection is often viewed as the treatment of choice [6,7]. Preoperative reduction is not often performed because of theoretical risks such as intraluminal seeding/venous tumor dissemination, perforation and perceived increased risk of anastomotic complications in case surgery is required [2].…”

Intussuscepção intestinal em adultos: relato de caso

“…Most of the current series show that approximately 90% of patients have anatomical or pathological cause underlying the intussusception 4,6,7,9,12 . Concerning the location, the small intestine is the most common site of involvemen 8,9,12 , and lesions in distal segments are predominant 12 .…”

“…In the large intestine, 36% of malignant cases have been identified 8 . This condition is rare in adults, remains a diagnostic challenge for most surgeons, especially for presenting wide range of symptoms, chronic symptoms often predominate 2,4,5,6,8,9 . In all series abdominal pain was the most common symptom, followed by nonspecific symptoms with nausea, vomiting, constipation and fever.…”

“…Concerning the location, the small intestine is the most common site of involvemen 8,9,12 , and lesions in distal segments are predominant 12 . Regarding the etiology, the intussusceptions can be classified as benign, malignant or idiopathic.…”