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Transient adult jejunal intussusception
Taras E Napora1, Kevin E Henry, Thea J Lovett
1Emergency Medicine, Summa Health Systems, Akron, Ohio 44309-2090, USA.
The Journal of Emergency Medicine
|May 15, 2003
Summary
Transient idiopathic intussusception is rare in adults, often presenting with abdominal pain. This case series suggests that some patients may not require surgery, warranting further investigation into treatment strategies.
Area of Science:
- Gastroenterology
- Abdominal Surgery
- Radiology
Background:
- Intussusception, a telescoping of the bowel, is uncommon in adults, typically linked to identifiable intestinal lesions.
- Idiopathic intussusception, without a clear cause, is exceptionally rare in adults, accounting for only 2-23% of cases.
Observation:
- Two cases of transient, idiopathic adult jejunal intussusception are presented in a 19-year-old female and a 39-year-old male.
- Both patients experienced nonspecific abdominal pain and nausea, diagnosed via computed tomography (CT) scan.
Findings:
- No underlying bowel abnormalities were identified in either patient.
- Neither patient required surgical intervention or bowel resection.
Implications:
- This report highlights the possibility of non-surgical management for select cases of transient adult intussusception.
- It prompts a discussion on whether exploratory laparotomy is always necessary for idiopathic, transient intussusception in adults.