Related Experiment Video
Updated: May 26, 2026
08:26
Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction
Published on: March 24, 2023
Intussusceptions in adults: clinical features and operative procedures
Zia Ur Rehman1, A Rehman Alvi, Salma Khan
1Department of Surgery, The Aga Khan University Hospital, Karachi.
Summary
Adult intussusception is rare and often presents as acute bowel obstruction. Surgical resection is effective, with no recurrence observed in the resection group, suggesting optimal outcomes.
Area of Science:
- Gastroenterology
- Surgical Oncology
Background:
- Intussusception, a rare condition in adults, typically presents as acute intestinal obstruction.
- Understanding its clinical presentation and treatment outcomes is crucial for effective management.
Purpose of the Study:
- To determine the clinical presentation and treatment outcomes of adult patients diagnosed with intussusception.
- To evaluate the role of diagnostic tools and surgical interventions.
Main Methods:
- A case series study was conducted at Aga Khan University Hospital, Karachi, from January 1988 to December 2008.
- Medical records of adult patients (age >15) with intussusception were reviewed, excluding those with incomplete data or less than 30 days follow-up.
- Data analysis included hospital stay, 30-day morbidity, mortality, and recurrence rates.
Main Results:
- Nineteen adult patients (mean age 37 years, male predominance) presented with acute bowel obstruction, predominantly small bowel intussusception (14 patients).
- CT scan diagnosed intussusception in 10 of 12 patients. Benign lead points were identified in 80% of cases.
- Eighteen patients underwent surgery; 14 had resection with primary anastomosis, and 4 had reduction only. No recurrence was seen in the resection group, while one recurrence occurred in the reduction group. One death resulted from advanced gastrointestinal malignancy.
Conclusions:
- Intussusception is an uncommon cause of acute intestinal obstruction in adults.
- CT scan is a valuable tool for pre-operative diagnosis.
- Early surgical resection, with or without reduction based on bowel viability, leads to optimal outcomes, and benign lead points are common.
Related Concept Videos
01:28Esophageal Perforation-II: Clinical Manifestations and Management
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
01:26Esophageal Strictures-II: Clinical Features and Management
Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
01:25Endoscopic Procedures II: Colonoscopy
The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
01:26Endoscopic Procedures V: ERCP
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...
01:29Intestinal Obstruction I: Introduction
Intestinal obstruction is a partial or complete blockage of the small or large intestine that disrupts the normal flow of intestinal contents through the lumen. This interruption impairs digestion, absorption, and fluid balance, and may lead to serious complications if not treated promptly.Mechanical ObstructionMechanical obstruction occurs when a physical blockage prevents intestinal contents from passing, arising from within the lumen or the bowel wall, or from external compression.Adhesions,...