Adult Intussusception: Should Bowel Resection Always be Performed?
Keywords:
Intussusception, Adult, SurgeryAbstract
Introduction: Adult intussusception is considered a rare condition and it is commonly caused by an underlying lesion. Material and methods: Retrospective review of 65 patients diagnosed at a tertiary centre and literature review. Results: Median age was 52,7 years and 55,4% were male. 18 cases were incidentaly found during CT exploration and had an asymptomatic course (27,7%). Most frequent symptoms were pain (70,2%) and nausea or vomiting (44,6%). In regards to their location, 33 intussusceptions were entero-enteric (50,8%), 14 entero-colic (21,4%) and 13 colo-colic (20%). Surgical procedure was carried out in 42 patientes. Bening lesion causing intussusception was found in 16 cases (mainly polips) and malignant lesion in 23 (mainly adenocarcinomas). 16 out of 18 entero-enteric intussusceptions had an asymptomatic course (88,8%) while those involving the colon caused symptoms in 92,6% of patients. Lesion causing instussusception was more likely to be malignant depending on its location: 35,7% in entero-enteric, 61,5% in entero-colic and 76,9% in colo-colic. Conclusion: Symptoms and location of intussusceptions can be useful in predicting malignancy potential of underlying lesions. The
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