Small Intestine Invagination in an Adult

Česká verzia

Authors: K. Rupert; V. Třeška; K. Houdek; J. Nosek; P. Duras ^*
Authors place of work: Chirurgická klinika FN Plzeň, přednosta: prof. MUDr. V. Třeška, DrSc. ; Klinika zobrazovacích metod FN Plzeň, přednosta: doc. MUDr. B. Kreuzberg, CSc. ^*
Published in the journal: Rozhl. Chir., 2010, roč. 89, č. 7, s. 417-420.
Category: Monothematic special - Original

Summary

Bowel intussusception in adulthood is relatively rare. It is the cause of bowel movement disorders in around 1–5% of cases. In contrast to intussusception in childhood, where the cause is usually unclear, in adulthood the unequivocal causes are known in 70–90% of cases. These predominantly include benign tumours of the small intestine.

The authors describe 2 case reports, where small bowel intussusception was the cause of the bowel movement disorder and non-specific abdominal pain.

This clinical entity must be kept in mind as the possible cause of non-specific abdominal pain in adulthood. If a malignancy is suspected, then the rules of oncological surgery should be followed

Key words:
intussusception – small intestine

Zdroje

1. Chiang, J. M., Lin, Y. S. Tumor spektrum od adult intussusception. J. Surg. Oncol., 2008, Nov 1: 98(6): 444–447.

2. Jemal, A., Siegel, R., Ward, E., et al. Cancer statistic, 2006. CA Cancor J. Clin., 2006, 56: 106.

3. Erkan, N., Haciyanli, M., Yildirim, M., Sahan, H., Vardar, E., Polat, F. Intussusception in adults: An unusual and challenging condition for surgeons. Int. J. Colorectal Dis., 2005, 20: 194–200.

4. Lee, Ch., Kim, J. H., Yang, D. H., Hwang, Y., Kang, M. J., Kim, Y. K., Lee, M. R. Ileal angiomyolipoma manifested by small intestina intussusception. World J. Gastroenterol., 2009, Mar, 21, 15(11): 1398–1400.

5. Takeuchi, K., Tsuzuki, Y., Ando, T., Sekihara, M., Hara, T., Kori, T., Kuwano, H. The diagnosis and treatment of adult intussusception. J. Clin. Gastroenterol., 2003, 36 (1): 18–21.

6. Vasiliadis, K., Kogopoulos, E., Katsamakas, M., Karamitsos, E., Tsalikidis, C., Pringos, B., Tsalikidis, A. Ileoileal intussusception induced by a gastrointestinal stromal tumor. World J. Surg. Oncol., 2008, Dec, 17, 6: 133.

7. Yakan, S., Caliskan, C., Makay, O., Denecli, A. G., Korkut, M. A. Intussusception in adults: clinical characteristics, diagnosis and operativ strategies. World J. Gastroenterol., 2009, Apr, 28, 15(16): 1985–1989.