DOI: http://dx.doi.org/10.18203/2349-2902.isj20194457

Adult intussusception as rare anomaly: case reports and management

Kirti Savyasacchi Goyal, Tejinder Pal Singh Sodhi, Maneshwar Singh Utaal, Nitish Dhawan, Mani Garg

Abstract


Adult intussusception occurs infrequently and differs from childhood intussusception in its presentation, aetiology, and treatment. Diagnosis can be delayed because of its longstanding, intermittent, and non-specific symptoms and most cases are diagnosed at emergency surgery. Use of computed tomography in the evaluation of patients with abdominal pain, the condition can be diagnosed more reliably. Treatment entails simple bowel resection in most cases. Reduction of the intussusception before resection is controversial. Laparoscopic management has been reported to be a safe and feasible option regardless of the etiology. This paper presents the diagnosis and management of two cases of adult intussusception, their presentation and management.


Keywords


Intussusception, Laparoroscopic approach, Taget sign

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References


Wang N, Cui X-Y, Liu Y, Long J, Xu Y-H, Guo RX, et al. Adult intussusception: a retrospective review of 41 cases. World J Gastroenterol. 2009;15(26):3303-8.

Suhaibani YAL, Bhat AMN, Abukhater M. Adult Intussusception, a rare cause of intestinal obstruction, case report and literature review. Int J Surg. 2009;24:1-7.

Karamercan A, Kurukahvecioglu O, Yilmaz TU, Aygencel G, AytaƧ B, Sare M. Adult ileal intussusception: an unusual emergency condition. Adv Ther. 2006;23(1):163-8.

Huang BY, Warshauer DM. Adult intussusception: diagnosis and clinical relevance. Radiol Clin N Am. 2003;41(6):1137-51.

Schuind F, van Gansbeke D, Ansay J: Intussusception in adults. Acta Chir Belg. 1985;85(1):55-60.

Reijnen HAM, Joosten HJ, de Boer HH. Diagnosis and treatment of adult intussusception. Am J Surg. 1989;158(1):25-8.

Merine D, Fishman EK, Jones B, Siegelman SS. Enteroenteric intussusception: CT findings in nine patients. AJR. 1987;148(6):1129-32.

Gupta V, Doley RP, Bharathy KGS, Yadav TD, Joshi K, Kalra N, et al. Adult intussusception in Northern India. Int J Surg. 2011;9:297-301.

Gayer G, Zissin R, Apter S, Papa M, Hertz M. Adult intussusception e a CT diagnosis. Br J Radiol. 2002;75:185-90.

Gara N, Falzarano JS, Limm WML, Namiki TS, Tom LKS. Ileal inflammatory fibroid polyp causing chronic ileocolic intussusception and mimicking cecal carcinoma. World J Gastrointest Oncol. 2009;1:89-92.

Zubaidi A, Al-Saif F, Silverman R. Adult intussusception: a retrospective review. Dis Colon Rectum. 2006;49:1546-51.

Demirkan A, Yagmurlu A, Kenekei I, Sulainanov M, Gecim E, Dindar H. Intussusception in adult and paediatric patients: two different entities. Surg Today. 2009;39:861-5.

Potts J, Samaraee AA, El-Hakeem A. Small bowel intussusception in adults. Ann R Coll Surg Engl. 2014;96:11-4.