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Intestinal intussusception in elderly patients

S H Israelit1, O R Brook, B Abbou

  • 1Departments of Surgery A, Rambam Medical Center, Haifa 31096, Israel.

Maturitas
|January 3, 2009
PubMed

Insights

Intussusception is rare in the elderly but causes bowel obstruction. Diagnosis relies on CT scans, and treatment requires surgical resection of affected bowel segments.

Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Radiology

Background:

  • Intussusception, a leading cause of bowel obstruction in children, is exceptionally rare in the elderly.
  • Early diagnosis and prompt surgical intervention are crucial for managing this condition in geriatric patients.

Observation:

  • A case of ileocecal intussusception in an 82-year-old patient is presented.
  • Diagnosis was established using abdominal CT scans, demonstrating high sensitivity and accuracy.
  • Physical examination and patient history were also key diagnostic components.

Findings:

  • Abdominal CT scans are highly sensitive and accurate for diagnosing intussusception in adults.
  • Surgical intervention is the definitive treatment for adult intussusception.
  • Segmental bowel resection, including nonviable bowel and the leading point, is mandatory.

Implications:

  • This case highlights the importance of considering intussusception in elderly patients presenting with bowel obstruction.
  • Accurate and timely diagnosis via CT imaging can significantly improve patient outcomes.
  • Surgical resection remains the gold standard, emphasizing the need for experienced surgical management.

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