[Colocolic and ileocolic intussusception in adults]

Area of Science:

• Gastroenterology
• Surgical Oncology
• Abdominal Imaging

Background:

• Adult intussusception is rare and difficult to diagnose due to nonspecific symptoms.
• It can be caused by benign or malignant lesions, necessitating accurate diagnosis.
• Understanding diverse presentations is key for appropriate management.

Purpose of the Study:

• To present five cases of adult intussusception with varying etiologies and presentations.
• To highlight the role of diagnostic imaging and endoscopic procedures.
• To discuss optimal treatment strategies, including surgical approaches.

Main Methods:

• Case series review of five adult intussusception patients.
• Analysis of clinical presentations, diagnostic findings (computed tomography, colonoscopy), and treatment outcomes.
• Evaluation of surgical interventions, including laparoscopic techniques.

Main Results:

• The cases included adenocarcinoma, colonic lipomas, and idiopathic intussusception.
• Computed tomography and colonoscopy were crucial for preoperative evaluation and lesion detection.
• Surgical resection was the primary treatment, with laparoscopic approaches considered.

Conclusions:

• Adult intussusception requires a high index of suspicion due to its rarity and nonspecific presentation.
• Multimodality diagnostic approaches are essential for accurate preoperative assessment.
• Individualized surgical strategies, potentially including laparoscopy, are vital for successful treatment.