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Related Experiment Videos

Intussusception in adults.

A A Balik1, G Ozturk, B Aydinli

  • 1Department of General Surgery Gaziantep University, School of Medicine, Gaziantep, Turkey. balik@gantep.edu.tr

Acta Chirurgica Belgica
|October 5, 2006
PubMed
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Adult intussusception often has a clear cause, unlike in children. Surgical resection is typically needed for adults with intussusception due to potential tumors.

Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Radiology

Background:

  • Intussusception is rare in adults, often presenting with non-specific symptoms.
  • Unlike childhood intussusception, adult cases frequently have an identifiable lead point, necessitating thorough investigation.

Purpose of the Study:

  • To review the clinical, radiological, and histopathological findings of adult intussusception.
  • To evaluate the management strategies for adult intussusception.

Main Methods:

  • Retrospective review of 18 adult patients surgically treated for intussusception.
  • Analysis of clinical presentation, radiological imaging (ultrasonography, CT), and histopathological results.

Main Results:

  • A definable intraluminal pathology was identified in 72.2% of patients, with small bowel intussusception being most common (83.3%).

Related Experiment Videos

  • Radiological imaging demonstrated a "target lesion" in 80% (ultrasound) and 75% (CT) of cases.
  • Idiopathic cases were managed with simple reduction, while others required segmental resection due to suspected malignancy.

    • Conclusions:

    • Adult intussusception typically presents with a lead point, distinguishing it from pediatric cases.
    • Surgical resection is the indicated treatment for adult intussusception with a suspected lead point, especially given the risk of malignancy.