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Ileocolic neoplastic intussusception-Imaging role and surgical management: A case report

George Hadjidekov1,2, Dimitar Neykov1,2

  • 1Department of Radiology, Lozenetz University Hospital, Sofia, Bulgaria.

Acta Radiologica Open
|February 23, 2023
PubMed

Insights

Adult intussusception is rare, often presenting with vague symptoms. Multi-Detector Computed Tomography (MDCT) aids diagnosis, distinguishing transient cases from malignant ones requiring surgical intervention.

Area of Science:

  • Gastroenterology
  • Radiology
  • Surgical Oncology

Background:

  • Intussusception, or bowel invagination, is rare in adults (5% of cases), typically involving the small intestine.
  • Adult intussusception often presents with non-specific symptoms, leading to delayed diagnosis and potential intraoperative discovery.
  • Malignant causes underlie some adult intussusception cases, necessitating prompt diagnosis and tailored surgical treatment.

Observation:

  • Multi-Detector Computed Tomography (MDCT) is now a key diagnostic tool for intussusception in adults.
  • MDCT can differentiate transient cases from those with underlying pathology.
  • Radiological findings are critical for surgical treatment planning.

Findings:

  • The case highlights a malignant ileocolic intussusception.
  • Accurate radiological diagnosis is essential for appropriate management.
  • Early detection influences treatment strategies and patient outcomes.

Implications:

  • Improved diagnostic accuracy with MDCT can lead to earlier intervention for adult intussusception.
  • Recognizing malignant potential is crucial for surgical planning and oncological treatment.
  • This case underscores the importance of considering intussusception in adult differential diagnoses.

Keywords:
Multi-detector computed tomographyileocolic intussusceptionsurgical treatment

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