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[Intestinal intussusception: a diagnostic dilemma in adults. Two case reports and literature review]

Daniel Rios-Cruz1, Fernando Ramírez-Morales2, Norma Patricia López-Pretelín2

  • 1Departamento de Cirugía General, Hospital General de Xalapa Dr. Luis F. Nachon, Servicios Estatales de Salud del Estado de Veracruz, Veracruz, Veracruz, Mexico. jobzon@hotmail.com.

Cirugia Y Cirujanos
|August 29, 2014
PubMed

Insights

Adult intussusception is rare, often presenting with nonspecific symptoms. Surgical resection without reduction is recommended due to potential malignancy, especially when a precipitating factor is identified.

Area of Science:

  • Gastroenterology
  • Surgical Pathology

Background:

  • Intestinal intussusception is common in children but rare in adults.
  • Adult intussusception presents with nonspecific symptoms, often mimicking intestinal obstruction.

Observation:

  • Two adult cases of intussusception are presented: one ileo-ileal secondary to hamartoma, and one ileo-colonic with no identified cause.
  • The cases highlight the varied presentations and potential underlying etiologies of adult intussusception.

Findings:

  • Adult intussusception is infrequent and frequently associated with a precipitating factor.
  • Malignant pathology is a significant concern in adult intussusception.

Implications:

  • Surgical resection without reduction is the preferred treatment for adult intussusception.
  • Early diagnosis and surgical intervention are crucial for favorable outcomes in adult intussusception.
Abstract

Keywords:
Adult intussusceptionHamartomaintestinal obstructioninvaginación intestinal en adultosobstrucción intestinal

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