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[Intussusception in adults].

Gaby Adriana Alarcón-Jarsún1, José Luis Martínez-Ordaz, Mauricio de la Fuente-Lira

  • 1Departamento de Gastrocirugía, Hospital de Especialidades, Centro Médico Nacional Siglo XXI, Av. Cuauhtémoc 330, tercer piso, Col. Doctores, 06725 Mexico, D.F.

Cirugia Y Cirujanos
|May 13, 2005
PubMed
Summary
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Adult intestinal intussusception is rare and often caused by underlying pathology, unlike in children. Surgical intervention is typically required, with resection being the preferred method.

Area of Science:

  • Gastroenterology
  • Surgical Oncology

Background:

  • Intestinal intussusception is uncommon in adults, with distinct causes compared to pediatric cases.
  • Adult intussusception often presents with intestinal obstruction, necessitating surgical intervention.

Observation:

  • Three adult patients with intestinal intussusception experienced intestinal obstruction.
  • All cases required surgical resolution.
  • Pathologic causes were identified in each instance, including benign polyps (lipoma, hamartomatous) and a malignant metastasis.

Findings:

  • Adult intestinal intussusception is frequently associated with an underlying pathologic cause.
  • Approximately 50% of adult intussusception cases have a malignant etiology.
  • Intestinal resection without reduction is the standard surgical approach.

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Implications:

  • Highlights the importance of investigating pathologic causes in adult intussusception.
  • Underscores the significant risk of malignancy in adult intussusception.
  • Confirms intestinal resection as the preferred surgical management strategy.