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[Invagination in adults]

R A Carels1, M G Ibelings, C K Jongsma

  • 1Afd. Interne Geneeskunde en Tropische ziekten, Havenziekenhuis en Instituut Tropische ziekten, Rotterdam.

Nederlands Tijdschrift Voor Geneeskunde
|April 29, 1998
PubMed
Summary
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Intussusception in adults can be caused by benign polyps or malignant tumors. Colonoscopic diagnosis and ileocecal resection are effective treatments for these conditions.

Area of Science:

  • Gastroenterology
  • Surgical Oncology

Background:

  • Intussusception is rare in adults, often associated with underlying pathology.
  • Prompt diagnosis and surgical intervention are crucial for favorable outcomes.

Observation:

  • Two adult intussusception cases were diagnosed via colonoscopy.
  • Case 1: A 39-year-old female with ileo-ileocolic intussusception due to an inflammatory fibroid polyp.
  • Case 2: A 79-year-old male with ileocolic intussusception caused by cecal adenocarcinoma.

Findings:

  • Colonoscopy effectively diagnosed intussusception in both adult patients.
  • Surgical resection (ileocecal resection) was performed for both intussusception cases.
  • Both patients experienced uneventful postoperative recoveries.

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Implications:

  • Highlights the importance of colonoscopy in adult intussusception diagnosis.
  • Demonstrates the efficacy of surgical resection for intussusception, regardless of etiology.
  • Underscores the need to investigate adult intussusception for underlying malignancy.