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Intussusception in Adults

2006; Taylor & Francis; Volume: 106; Issue: 4 Linguagem: Inglês

10.1080/00015458.2006.11679917

0001-5458

Ahmet A. Balık, Gürkan Öztürk, Bülent Aydınlı, Fatih Alper, Hatice Gümüş, M. İlhan Yıldırgan, Mahmut Başoğlu,

Gastrointestinal Tumor Research and Treatment

To review clinical, radiological and histopathological findings of adult intussusception and its management, 18 adult patients who had been treated surgically because of intussusception were reviewed. Of the patients, 5 (27.8%) had idiopathic intussusceptions, while the other 13 (72.2%) had a definable intraluminal pathology. The site of the intussusception was more common in the small bowel (83.3%) than the colon (16.7%). Ultrasonography and computed tomography were successful in demonstrating “target lesion” in 80% and 75% respectively. Patients with idiopathic intussusception were treated with simple reduction, while the others underwent segmental resection because of the possibility of malignant tumour. In contrast to intussusception in childhood, intussusception in adults usually has a definable lead point and resection of the involved bowel, rather than simple reduction, is indicated.