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Adult intussusceptions: Clinical presentation, diagnosis and therapeutic management
H Maghrebi1, A Makni1, R Rhaiem1
1Surgery Department La Rabta Hospital, Tunis, Tunisia; Faculty of Medicine of Tunis, University of Tunis El Manar, Tunisia.
Adult intussusception, a rare cause of intestinal obstruction, is typically secondary to an organic cause. Surgical resection without reduction is the preferred treatment, with computed tomography aiding preoperative diagnosis.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Abdominal Imaging
Background:
- Adult intussusception is a rare condition, often presenting with nonspecific symptoms, making preoperative diagnosis challenging.
- It is an uncommon cause of intestinal obstruction in adults.
Purpose of the Study:
- To determine the clinical characteristics of adult intussusception.
- To evaluate the surgical approach for adult intussusception.
Main Methods:
- Retrospective descriptive study from 2006 to 2014.
- Review of all adult patients admitted for intestinal intussusception.
Main Results:
- Eight patients (mean age 48) were included, with 5 presenting acutely.
- Computed tomography (CT) enabled 100% preoperative diagnosis of intussusception.
- All patients underwent surgery with resection without reduction; organic lesions were identified in all cases.
Conclusions:
- Adult intussusception is usually secondary to an organic cause.
- CT is valuable for etiologic diagnosis and identifying the causal lesion.
- Surgical resection without reduction is the recommended therapeutic approach.
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