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Published on: May 27, 2022
Adult intussusception secondary to diverticular disease
Habib Syed1, Labib Syed2, Umesh Parampalli3
1Medical Student, Brighton and Sussex Medical School, Brighton, UK.
Insights
Adult intussusception is rare, often caused by tumors. This case highlights a 92-year-old man with sigmoid-rectal intussusception due to a diverticular stricture, a less common cause.
Area of Science:
- Gastroenterology
- Colorectal Surgery
- Surgical Pathology
Background:
- Intussusception, the telescoping of one bowel segment into another, is uncommon in adults.
- Adult intussusception typically arises from an organic lesion, frequently a malignant neoplasm.
Observation:
- A rare case of intussusception in a 92-year-old male patient is presented.
- The intussusception involved the sigmoid-rectal colon.
Findings:
- The intussusception was found to be secondary to a diverticular stricture.
- This etiology is an infrequent cause of adult intussusception.
Implications:
- Diverticular strictures should be considered in the differential diagnosis of adult intussusception.
- This case broadens the understanding of etiological factors for intussusception in the elderly.
Abstract:
Intussusception is the invagination of a proximal segment of bowel into the lumen of an adjacent distal segment. It is a common condition in the paediatric age group although it rarely occurs in adults. Organic lesions in the bowel wall are the primary cause of adult intussusceptions with malignant neoplasms being the most common. However, we present a rare case of a 92-year-old man diagnosed with an intussusception of the sigmoid-rectal colon secondary to a diverticular stricture.
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