Two different lead points causing adult intussusception: Two case reports with review of literature.

Sheeza Imtiaz, Imran Shoukat

Abstract


Intestinal invagination or intussusception is the leading cause of intestinal obstruction in children, but in adults it accounts for only 5% of all intussusceptions, and 0.003%-0.02% of all adult hospital admissions. In contrast to childhood intussusception, which is idiopathic in 90% of cases, adult intussusception has a demonstrable lead point, which is a well-definable pathological abnormality in 70%-90% of cases. This paper presents the diagnosis and management of two cases of adult intussusceptions caused by two different pathologies followed by review of literature.

Full Text:

PDF

References


Azar T, Berger DL. Adult intussusception. Ann Surg. 1997;226:134–8.

Begos DG, Sandor A, Modlin IM. The diagnosis and management of adult intussusception. Am J Surg. 1997;173:88–94.

Taranez A and David L Berger:Adult intussuception.Annals of surgery 1997,226(2):134-138

Minaya Bravo AM, Vera Mansilla C, Noguerales Fraguas F, Granell Vicent FJ. Ileocolic intussusception due to giant ileal lipoma: Review of literature and report of a case. Int J Surg Case Rep 2012;3(8):382-4.

Yakan S, Caliskan C, Makay O, Denecli AG, Korkut MA. Intussusception in adults: clinical characteristics, diagnosis and operative strategies. World J Gastroenterol. 2009;15:1985–9

Mohamud SO, Motorwala SA, Daniel AR, Tworek JA, Shehab TM. Giant ileal inflammatory fibroid polyp causing small bowel obstruction: a case report and review of the literature. Cases J. 2008;1:341.

Singhal M, Singh P, Misra V, Dhingra V, Bhatia R. Inflammatory fibroid polyp of small ıntestıne: Report of two cases with review of literature. JCDR. 2010;4:3241–44.

Wysocki AP, Taylor G, Windsor JA: Inflammatory fibroid polyps of the duodenum: a review of the literature. Dig Surg 2007, 24:162-8.

Jacobs TM, Lambrianides AL. Inflammatory fibroid polyp presenting as intussusception. J Surg Case Rep. 2013;2013(2).

T. Yao. “Primary small intestinal tumors,” Stomach and Intestine. Vol. 36, no. 7, p. 881, 2001.

M. A. Rogy, D. Mirza, G. Berlakovich, F. Winkelbauer, and R. Rauhs. “Submucous large-bowel lipomas-presentation and management. An 18-year study,” Acta Chirurgica, vol. 157, no. 1, pp. 51–55, 1991.

Eisen LK, Cunningham JD, Aufses AH Jr. Intussusception in adults: institutional review. J Am Coll Surg. 1999;188:390–95.

Hurwitz LM, Gertler SL. Colonoscopic diagnosis of ileocolic intussusception. Gastrointest Endosc. 1986;32:217–18.

Bar-Ziv J, Solomon A. Computed tomography in adult intussusception. Gastrointest Radiol. 1991;16:264–6.

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


Refbacks

  • There are currently no refbacks.


© Copyright PJR 2008-