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Related Experiment Videos

Intussusception in adults.

N Desai1, M G Wayne, P J Taub

  • 1Department of Surgery, Elmhurst Hospital Center, 79-01 Broadway, Elmhurst, NY 11373, USA.

The Mount Sinai Journal of Medicine, New York
|January 5, 2000
PubMed
Summary
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Adult intussusception is rare and often caused by underlying pathology. Computed tomography (CT) is key for diagnosis, revealing "target" lesions and guiding surgical treatment for this condition.

Area of Science:

  • Gastroenterology
  • Radiology
  • Surgical Oncology

Background:

  • Intussusception is uncommon in adults, typically stemming from identifiable intraluminal causes.
  • This study examines four adult intussusception cases, highlighting diverse etiologies and clinical presentations.

Observation:

  • Cases included lymphoma of the terminal ileum (2), an inflamed appendix (1), and a mucosal polyp (1).
  • Patients presented with non-specific, chronic symptoms mimicking partial small bowel obstruction, such as abdominal pain, nausea, and vomiting.
  • Abdominal masses were palpable in only one case.

Findings:

  • Computed tomography (CT) proved to be the most effective diagnostic tool, visualizing characteristic "target" lesions.
  • The "target" sign on CT may eliminate the need for additional imaging like barium enema.

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Implications:

  • Adult intussusception requires surgical resection beyond simple reduction.
  • Prompt diagnosis via CT is crucial for effective management of this rare condition.