Intussusception in adults

doi:10.1016/0002-9610(54)90328-1

The American Journal of Surgery

Volume 88, Issue 1, July 1954, Pages 32-43

https://doi.org/10.1016/0002-9610(54)90328-1 Get rights and content

Abstract

Intussusception in adults is discussed from the standpoint of incidence, location, pathogenesis and diagnosis. What appears to be the rational management of such cases is presented in detail, using the facts regarding locations and causes of intussusception as found in published case reports as a guide. Five cases are reported and discussed which illustrate some of the problems of the surgical treatment of the condition.

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Cited by (134)

Missed case of intussusception, a rare cause of abdominal pain in adults: A case report emphasizing the imaging findings and review of the literature
2019, Radiology Case Reports
Citation Excerpt :
The lead points are the structural lesions of the bowel wall that are thought to alter normal peristaltic activity of the bowel, hence, initiating the prolapsing or invagination process [1,2]. Intussusception is further classified according to their location and site of origin; enteric (confined to small bowel), ileocolic, ileocaecal, and colonic (confined to large bowel) [3]. In a previous study of 745 surgically diagnosed intussusception cases in adults, 52% were found in the small bowel and 38% in the large bowel [4].
Intussusception, a process whereby a segment of the intestine telescopes into the adjoining intestinal lumen, is a rare source of pain in adults that present with nonspecific abdominal pain. Imaging is the mainstay for diagnosis, which requires prompt and accurate interpretation to prevent complications. The following report details the misdiagnosis of intussusception in a 54-year-old male, whom presented to the emergency department with a 4-day history of nonrelenting abdominal pain, nausea, vomiting, and constipation. Following blood tests, chest, and abdominal imaging, the patient was discharged with a suspected passed renal stone. He soon represented to the General Practitioner, however, with equivalent pain; prompting a review of the images. It was apparent that the initial radiologist failed to recognize the subtle presence of intussusception. This case highlights the necessary consideration of intussusception as a differential diagnosis in adult patients presenting with intermittent abdominal pain. The case further emphasizes that radiologists should be familiar with the subtler signs of intussusception.
Ileoileal and ileocecal intussusception due to ileal lipoma: A rare cause of bowel obstruction in the adult
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Are Lead-Points Of Intussusception In Nigerian Adults Usually Malignant?
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Ileocecal Intussusception of the Adult Induced by the Gastrointestinal Stromal Tumor of the Ileocecal Valve - A Case Report
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A brief review of diagnostic properties of point-of-care ultrasound for adult bowel intussusception: Making the case for ultrasound
2023, Journal of Ultrasonography
Jejunojejunal intussusception in an adult: A rare presentation of abdominal pain in the emergency department
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¹: From the Department of Surgery, University of California School of Medicine, Los Angeles, Calif.

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Scientific paperIntussusception in adults

Abstract

S. Clin. North America

Am. J. Surg.

S. Clin. North America

J. Internat. Coll. Surg.

Am. J. Surg.

Surg., Gynec. & Obst.

Am. J. Surg.

Brit. J. Surg.

South. M. J.

Meckel's diverticulum—with a report of a case of intussusception due to its invagination

New England J. Med.

Gastro-intestinal haemorrhage in infancy and childhood

J. A. M. A.

Intussusception in adults: report of 15 cases

Surgery

Intussusception during pregnancy

Surg., Gynec. & Obst.

Intussusception in adults

Surg., Gynec. & Obst.

Intussusception in the adult

Am. J. Surg.

Scientific paper
Intussusception in adults