Intussusception in adults: Clinical characteristics, diagnosis and operative strategies

Yakan, Savaş; Çalışkan, Cemil; Makay, Özer; Deneçli, Ali Galip; Korkut, Mustafa

doi:10.3748/wjg.15.1985

Cited by 189 publications

(282 citation statements)

References 27 publications

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“…7 This was the finding in our case; we performed a simple reduction only and this fact is supported by several studies. 6 The aetiology is a malignancy in most of the cases of large bowel intussusception as opposed to small bowel intussusception.…”

Section: Figure 1: the Ileo-ileal Intussusceptionssupporting

confidence: 74%

A rare case of adult chronic intussusceptions

Dharmapala

Samarasekara²,

Ileperuma³

2018

SL J. Med.

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Chronic intussusception is the prolapse of a portion of bowel into the lumen of an adjacent segment of the bowel usually lasting 14 days or more. We report on a 65-year-old man who presented with a fifteen month history of generalized cramping lower abdominal pain without any change in bowel habits. Plain abdominal x-ray, ultrasonography and CT were performed. Laparotomy revealed an ileo-ileal intusussception; there was no cause identified and the intussusception was easily reproducible peroperatively. The intussusception was reduced and the small intestine was plicated.

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Section: Figure 1: the Ileo-ileal Intussusceptionssupporting

confidence: 74%

A rare case of adult chronic intussusceptions

Dharmapala

Samarasekara²,

Ileperuma³

2018

SL J. Med.

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“…The group also carried out risk analysis and found history of previous malignancy, mass on CT and age over 60 to be associated with presence of a lead point in small bowel intussusceptions; this may have implications in optimising the incidence of bowel resection. Yakan et al reported 20 cases out of which 17 involved small bowel with 2 showing no demonstrable pathology [8]. Although resection may be performed after partial reduction, either by traction or hydrostatic means [9], this may result in inadvertent perforation.…”

Section: Discussionmentioning

confidence: 99%

Adult intestinal intussusception — A report of 2 cases and literature review

Habib

Jacob

2014

Open Medicine

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AbstractEvery five years or so a case of adult small bowel intussusception secondary to pathologies such as inflammatory fibroid polyp (IFP) appears in English literature. Likewise rare cases of adult colonic intussusception due to a tumour have been reported including, more recently, their successful management by laparoscopic approach. We describe two such cases, one each of small bowel and large bowel intussusception, due to IFP and caecal tumour respectively and discuss their management. We also suggest role of combined laparoscopy/endoscopy in selected cases of colonic resections.

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“…The lesions seem to lack a malignant potential and recurrence of the polyps has been reported only once [9]. Conventional abdominal radiography may show dilated bowel loops.…”

Section: Discussionmentioning

confidence: 99%

Ileo-ileal Intussusception in an Adult Caused by Vanek’s Tumour: A Rare Case Report

Teli¹,

2013

JCDR

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A 45-year-old lady presented with colicky abdominal pain, distension, vomiting and constipation, which she had since 3 days. There was no history of similar complaints in the past. She had undergone a tubectomy 17 years back. On examination, she was found to be comfortable but she was dehydrated. Her pulse rate was 94 beats per minute, with a blood pressure of 124/70mmHg. Abdominal examination revealed abdominal distension and tubectomy scar. Abdomen was soft, nontender, there was no palpable mass and there was hyperperistalsis. Digital rectal examination did not show the presence of faeces, or blood. Laboratory investigation showed neutrophilic leucocytosis, blood urea-50mg/dl, serum creatinine-0.8mg/dl. Serum electrolytes were within normal limits. A provisional diagnosis of an intestinal obstruction, probably caused by adhesion, was made. Patient was started on anti-biotics, intravenous fluids, and nasogastric decompression. Erect X-ray of abdomen revealed multiple air-fluid filled dilated small bowel loops. Abdominal ultraonography (USG) showed dilated bowel loops. A contrast enhanced computed tomography (CECT) scan [Table/ Fig-1] demonstrated an ileo-ileal intussusception with dilated proximal small bowel loops.Laparotomy revealed an ileo-ileal intussusception [Table/ Fig-2] with a dilated proximal small intestine. It was situated 50 cm proximal to the ileocecal valve. Intussusception was reduced and polyp was noted as lead point of intussusceptum [Table/ Fig-3]. There was no evidence of any other polyps in the rest of the small bowel. We performed a segmental small bowel resection with extracorporeal end-to-end anastomosis. Post-operative specimen [Table/ Fig-4] showed a firm, circumscribed, endoluminal 2x2.5cm polyp. Postoperative course was uneventful.On microscopic examination [Table/ Fig-5], the surface of the polypoid lesion was found to be covered by ulcerated mucosa, proliferating blood vessels, oedema and an eosinophilic infiltrate in a fibrous stroma. Foci of necrosis were noted. Features were those of an inflammatory fibroid polyp (also called as Vanek's tumour). DisCussionAdult intussusception occurs in only 1% of patients suffering from small bowel obstruction and 80% of such conditions are caused by benign tumours. [1,2]. This disease was first described to occur in the stomach by Vanek in 1949 [3]. Recently, a very interesting review of the literature on IFPs was published [4], which included 1000 cases of IFP, in which the characteristic of this disorder, the diagnostic and therapeutic strategies and microscopy have been described carefully. Only 5% of all intussusceptions occur in adults [5]. In 90% of adult cases, predisposing lesions can be found, but in the paediatric population, organic lesions are found in only 10% of the cases. In 63% of cases of small bowel intussusceptions, benign underlying lesions can be found, whereas in 58% of cases of large bowel intussusceptions, a malignant aetiology has to be expected [5].Vanek's tumour is a rare, benign, non-encapsulated lesion, composed ma...

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Intussusception in adults: Clinical characteristics, diagnosis and operative strategies

Cited by 189 publications

References 27 publications

A rare case of adult chronic intussusceptions

A rare case of adult chronic intussusceptions

Adult intestinal intussusception — A report of 2 cases and literature review

Ileo-ileal Intussusception in an Adult Caused by Vanek’s Tumour: A Rare Case Report

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