Luciano Delgado Plasencia (La Laguna / ES), Patricia Marrero Marrero (La Laguna / ES), Sara González García (La Laguna / ES), Desiree Rodríguez Castellano (La Laguna / ES), Ester Ramírez Caballero (La Laguna / ES), Beatríz Díaz Pérez (La Laguna / ES)
Abstract text (incl. references and figure legends)
Introduction: Intussusception of the bowel is defined as the telescoping of a proximal segment of the gastrointestinal tract within the lumen of the adjacent segment. Intussusception is common in children but rare in adults. The goal of this study was to review retrospectively the symptoms, diagnosis, and treatment of intussusception in adults.
Material & Methods: From 2009 to 2020, we experienced 5 patients of intussusception in patients older than 18 years. The diagnosis and treatment of these patients were reviewed.
Results: Three patients presented symptoms of intestinal subocclusion, one patient presented abdominal pain with low gastrointestinal bleeding and one patient was asymptomatic. All patients were diagnosed with abdominal ultrasonography and abdominal computed tomography. There were 2 patients of colonic (rectal) intussusception, 2 patients of ileocolic intussusception and 1 patient of enteric intussusception. Surgery was performed in all patients, and laparoscopy-assisted surgery was performed 3 patients. Among 5 patients, two patients were associated with benign tumor, one patient with malignant tumor and in two patients was not observed an apparent etiology.
Conclusions: Preoperative diagnoses were possible in all patients. Surgery is the definitive treatment of adult intussusceptions. Reduction greatly benefited any surgery required and the extent of the resection regardless of the underlying disease and surgical site.
References
- Intussusception of the bowel in adults: a review. World J Gastroenterol . 2009 Jan 28;15(4):407-11.
- Adult intussusception: a retrospective review.World J Surg. 2015 Jan;39(1):134-8.
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