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Related Experiment Videos

Intussusception in adults

L te Strake

    Diagnostic Imaging
    |January 1, 1980
    PubMed
    Summary
    This summary is machine-generated.

    Adult intussusception often results from malignant lesions, necessitating surgical intervention. While barium enemas can reduce some cases, surgery is preferred due to perforation risks and high incidence of underlying pathology.

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    Area of Science:

    • Gastroenterology
    • Surgical Oncology
    • Abdominal Imaging

    Background:

    • Intussusception is rare in adults, with a higher association with pathological lesions compared to children.
    • Understanding the etiology and clinical presentation is crucial for appropriate management.

    Observation:

    • This study reviewed 11 adult intussusception cases, with 9 requiring surgical treatment.
    • Malignant lesions were identified as the cause in 7 cases, and benign lesions in 2.
    • Barium enema successfully reduced intussusception in 2 patients.

    Findings:

    • The underlying lesions included malignant lymphoma (4), adenocarcinoma (2), leiomyofibroma (1), endometriosis (1), carcinoid (1), and Meckel's diverticulum (2).
    • Surgical therapy is recommended due to the high incidence of pre-existing lesions and risks associated with barium enema reduction, such as perforation.

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    Implications:

    • Adult intussusception warrants prompt investigation to identify underlying pathologies, predominantly malignant neoplasms.
    • Surgical management is the gold standard, ensuring definitive treatment and accurate pathological diagnosis.
    • Early surgical intervention can prevent complications associated with delayed diagnosis and treatment.