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Idiopathic enteroenteric intussusceptions in adults.
J Saenz De Ormijana1, P Aisa, E Añorbe
1Department of Radiology, Hospital Santiago Apóstol, Olaguíbel, 29, 01004 Vitoria, Spain.
Abdominal Imaging
|December 17, 2002
Summary
Idiopathic transitory intestinal intussusception is rare in adults but can occur without obstruction or serious complications. These cases often resolve spontaneously or with minimal intervention, suggesting a less aggressive approach is warranted.
Area of Science:
- Gastroenterology
- Radiology
Background:
- Intestinal intussusception is uncommon in adults, particularly the idiopathic and transient types.
- This condition often presents with vague abdominal pain.
Purpose of the Study:
- To investigate the characteristics of idiopathic and transitory intestinal intussusceptions in adults.
- To evaluate the clinical course and management of these rare cases.
Main Methods:
- Retrospective review of medical records and imaging for four adult patients.
- Analysis of seven instances of idiopathic and transitory intestinal intussusceptions identified during barium meal and small bowel follow-through studies.
Main Results:
- Patients presented with nonobstructive intussusceptions without identifiable causes.
- Some cases resolved with manual reduction of the intussuscepted bowel segment.
- No complications were observed during follow-up periods.
Conclusions:
- Idiopathic, nonobstructive intestinal intussusception can occur in adults.
- These intussusceptions typically have minimal clinical impact and do not necessitate aggressive treatment.