Intussusception in Adults: The Role of MDCT in the Identification of the Site and Cause of Obstruction

Valentini, V.; Buquicchio, Grazia Loretta; Galluzzo, Michele; Ianniello, Stefania; Grezia, Graziella Di; Ambrosio, Rosa Luisa; Trinci, Margherita; Miele, Vittorio

doi:10.1155/2016/5623718

Cited by 58 publications

(60 citation statements)

References 23 publications

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“…Computed tomography is regarded as the most useful imaging technique, with a diagnostic accuracy of 58–100% [7], [9]. CT is not affected by body habitus or the presence of intraluminal gas, both of which commonly limit ultrasonographic diagnosis.…”

Section: Discussionmentioning

confidence: 99%

Adult colo-colonic intussusception caused by congenital bands: A case report and literature review

Wang

Gowing

Arena

2016

International Journal of Surgery Case Reports

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Section: Discussionmentioning

confidence: 99%

Adult colo-colonic intussusception caused by congenital bands: A case report and literature review

Wang

Gowing

Arena

2016

International Journal of Surgery Case Reports

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“…In contrast to the abdominal ultrasound, the abdominal helical computed tomography (CT) is a gold standard due to its high specificity and sensitivity for determining the etiology, level and degree of the obstruction [7,8]. The typical imaging of intussus- ception with target-like appearance has an accuracy of 90% [7].…”

Section: Discussionmentioning

confidence: 99%

A Case of Laparoscopic-Assisted Treatment of Small Bowel Intussusception Due to Metastases From Malignant Melanoma - A Word of Caution

Mutafchiyski¹,

Kotashev²,

Tabakov³

et al. 2016

IJSM

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During the last four decades, the laparoscopic surgery gradually underwent a full recognition and nowadays it is a "gold standard" treatment for many elective conditions and recently in a wide variety of emergent conditions. However, its use in bowel obstruction is still under debate, and high-level evidence is lacking. Herein we present a case of 36-year-old man with small bowel intussusception due to metastases from melanoma treated laparoscopically. Diagnostic challenges and pitfalls of laparoscopic treatment are discussed. Multiple gastrointestinal metastases should be considered in all cases with small bowel obstruction and a history of melanoma. Although laparoscopy is increasingly used in emergency setting and appears to be the feasible and safe treatment of small bowel obstruction, it should be used with a caution in cases with suspected metastasized malignant melanoma.

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“…Abdominal MDCT has been shown to be the imaging modality of choice for the detection and assessment of adult bowel intussusception, with a reported accuracy of 58-100%. 5 In our case series, a retrospective review of clinical records of five cases of adult intussusception is demonstrated on CT images. The above patients, who presented with acute abdomen, were imaged with CT. Etiological factors included intestinal polyp, intra bowel leiomyoma, jejunal lipoma, lymph nodes, as well as an idiopathic cause.…”

Section: Case Reportmentioning

confidence: 99%

Adult Intussusception: A Case Series

Shukla¹,

Manjunath²,

Reddy³

et al. 2019

The Journal of Medical Sciences

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Introduction:Adult intussusception is an infrequent cause of intestinal obstruction and differs from childhood intussusception in its presentation, etiology, and treatment. Almost 90% of adult intussusceptions are secondary to a pathological condition that serves as a lead point and most of them require surgical intervention. Method: Computed tomography (CT) is the most sensitive diagnostic modality which distinguishes intussusceptions with and without a lead point. This paper presents the clinical presentation and etiopathogenesis of adult intussusception as demonstrated by CT. Observation and results: Five cases of adult intussusception were evaluated and the various etiologies included an intestinal polyp, bowel wall leiomyoma, jejunal lipoma, calcified lymph and idiopathic causes. Conclusion: Adult intussusception is a rare but challenging condition for the surgeon. Diagnosis is usually missed because of nonspecific and subacute symptoms. With the advent of MDCT in imaging of acute abdominal emergency, the detection of intussusception has increased. Figs 1A and B: CT (A-plain) and (B-contrast) shows a long-segment intussusception in the distal ileum (short arrow), ileocecal junction, cecum, and proximal part of transverse colon secondary to an enhancing intraluminal polypoidal lesion (long arrow). Case 1: A 58-year-old female presented with acute pain abdomen A B dIscussIon Adult intussusception is unusual, and its causes are varied. Almost 90% of adult intussusceptions are secondary to a pathological 24 Figs 2A and B: CT (A-plain) and (B-contrast) shows a well-defined lesion giving target appearance (short arrow) involving the distal ileum and colon. A well-defined lesion of soft tissue attenuation (long arrow) later proven to be leiomyoma was found to be the cause of intussusception. Case 2: A 37-year-old female presented with acute pain abdomen A B Figs 3A and B: CT (A-plain) and (B-contrast) shows evidence of a concentric doughnut-shaped lesion (long arrow) involving the distal ileum and ascending colon with a dense intra luminal focus as the contributory cause, which was later found to be a calcified lymph node (short arrow). Case 3: A 50-year-old male patient presented with acute abdomen A B A B Figs 4A and B: CT (A-plain) and (B-contrast) shows a telescoping of the fourth part of the duodenum and mesentery into the proximal jejunum (short arrow). A lesion of fatty attenuation (long arrow) which formed the leading point attributed to the cause. Case 4: A 50-year-old female presented with pain abdomen

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Intussusception in Adults: The Role of MDCT in the Identification of the Site and Cause of Obstruction

Cited by 58 publications

References 23 publications

Adult colo-colonic intussusception caused by congenital bands: A case report and literature review

Adult colo-colonic intussusception caused by congenital bands: A case report and literature review

A Case of Laparoscopic-Assisted Treatment of Small Bowel Intussusception Due to Metastases From Malignant Melanoma - A Word of Caution

Adult Intussusception: A Case Series

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