2006, Number 4
An Med Asoc Med Hosp ABC 2006; 51 (4)
Intussusception in adults
Zumarán CO, Robles VC, Villarreal CP, Olivares MH, Sarue SN
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Introduction: intussusception is when a bowel segment and its mesentery turn inward of the adjacent bowel. It is most often found in children. Incidence in adults is between 5% to 16%, more often in the male population. Ninety percent of the cases are of demonstrable origin, and 52% are caused by malign tumors. Diagnosis can be made by imaging studies, most important being computer tomography, although 68% is made by surgical exploration. Treatment consists of bowel resection without pullover of the compromised segment. Case report:
36 years old adult male, with no important pathological record, presenting with colic, abdominal pain, distension, and no intestinal transit. He was submitted to laparoscopy, where findings were intussusception at terminal ileum, 15 cm from the cecum. Treatment consisted of bowel resection with primary anastomosis with favorable recovery. Conclusion:
Intussusception is a rare cause of intestinal occlusion in adult patients and has to be considered a part of differential diagnosis for this entity.
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