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ISSN 2594-1518 (Electronic)
ISSN 1405-0099 (Print)

2000, Number 3

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Cir Gen 2000; 22 (3)

Intussusception, an uncommon cause of intestinal obstruction

Flores AE, Suárez MR, Romero HT, Flores AAC, Esmer SD, Blanco BR

Language: Spanish
References: 24
Page: 216-220
PDF size: 159.79 Kb.


ABSTRACT

Objective: To present and analyze seven cases of intussusception in adult patients.
Setting: Third level health care hospital.
Design: Retrospective, observational study.
Patients and methods: We reviewed the clinical histories of 279 patients that had been subjected to exploratory laparotomy. All patients had a preoperative diagnosis of intestinal obstruction for a 10 year period. We included only those patients with confirmed intussusception, and analyzed the following variables: age, gender, clinical symptoms, etiology, diagnostic studies, treatment, days of hospital stay, morbidity, and mortality.
Results: From the 279 patients, 7 (2.1%) corresponded to intussusception, with an average age of 45 years (range 30 to 67), four were men and three were women. Most frequent symptoms at the time of admission were: abdominal pain in six, abdominal distension in five, constipation and anorexia in four, and vomiting in three. Preoperative diagnosis had only been made in three (43%). Etiology could be established in six of the seven patients (85%), of whom three corresponded to neoplasms. Intestinal resection and primary anastomosis was performed in five patients, rectopexy in two, and reduction of the intussusception was performed in only one patient. Two patients presented complications, one of them died due to pneumonia and sepsis. Average hospital stay was of 16.8 days (from 4 to 71).
Conclusion: Intussusception is a rare clinical entity in adults. It is frequently associated to neoplasms of the digestive tract. Its treatment is surgical and consists of resecting the involved intestinal segment.


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