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[Intestinal intussusception in the adult]

H Tögel, P Sommer, G Ziesing

    Zentralblatt Fur Chirurgie
    |January 1, 1982
    PubMed
    Summary

    Adult intussusception often presents chronically, unlike the acute presentation in children. This chronic course can lead to misdiagnosis and delayed treatment, highlighting the need for thorough investigation of symptoms like pain, vomiting, and melena.

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    Area of Science:

    • Gastroenterology
    • Abdominal Surgery

    Background:

    • Intussusception, a condition where one part of the intestine slides into another, presents differently in adults compared to children.
    • Adult intussusception typically follows a chronic course, contrasting with the acute presentation often seen in pediatric cases.

    Observation:

    • The chronic nature of adult intussusception frequently leads to diagnostic delays and incorrect initial diagnoses.
    • Key diagnostic tools include sonography, radiologic imaging, and endoscopic procedures.
    • Surgical indications in adults may not always align with the underlying cause of intussusception.

    Findings:

    • Four cardinal symptoms—abdominal pain, vomiting, a palpable tumor, and melena—should raise suspicion for intussusception in adults.
    • The chronic presentation can mimic other gastrointestinal conditions, complicating diagnosis.

    Implications:

    • Increased awareness of chronic intussusception in adults is crucial for timely and accurate diagnosis.
    • Prompt and appropriate diagnostic workups are essential to avoid therapeutic delays.
    • Understanding the distinct clinical course in adults can improve patient outcomes by ensuring correct diagnosis and treatment.

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