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Idiopathic jejunal intussusception in an adult

I Goutos1, A W O'Sullivan, F Myint

  • 1Department of Surgery, North Middlesex University Hospital, Sterling Way, London N18 1QX, UK. ioannisgoutos@hotmail.com

Irish Journal of Medical Science
|February 26, 2008
PubMed

Insights

Adult small bowel intussusception often has a malignant cause. Excision without reduction is recommended to ensure complete removal of potential tumors.

Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Abdominal Surgery

Background:

  • Intussusception is a frequent pediatric surgical diagnosis, often idiopathic.
  • In adults, malignancy is a common cause of intussusception, necessitating surgical intervention.
  • Small bowel intussusception is typically considered benign, with reduction often preceding excision of the leading cause.

Observation:

  • This study reviews literature to ascertain malignancy rates in small bowel intussusceptions.
  • An unusual case of adult idiopathic jejunal intussusception treated with excision without reduction is presented.
  • A literature search was conducted to support the case presentation and findings.

Findings:

  • Literature confirms a high incidence of malignancy in adult small bowel intussusceptions.
  • Excision without reduction is supported as the optimal surgical strategy.
  • Malignancy rates underscore the importance of complete resection.

Implications:

  • Excision without reduction should be the primary treatment for small bowel intussusception in adults.
  • Preoperative imaging is crucial to identify benign pathology and guide surgical approach.
  • This approach aims to improve outcomes by addressing underlying malignancy effectively.
Abstract

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