Abstract
Adult intussusception occurs infrequently and differs from childhood intussusception in its presentation, etiology, and treatment. Diagnosis can be delayed because of its longstanding, intermittent, and non-specific symptoms and most cases are diagnosed at emergency laparotomy. Treatment entails simple bowel resection in most cases. Reduction of the intussusception before resection is controversial, but there is a shift against this, especially in colonic cases. This paper presents the diagnosis and management of three cases of adult intussusception, in our hospital.
Highlights
INTRODUCTIONIntestinal intussusception in adults is rare (about 0.003%– 0.02% of all hospital admissions)
[3] The diagnosis in adults is usually made at laparotomy, as most patients present as an emergency with intestinal obstruction
In non-emergency patients the diagnosis can be challenging as symptoms include intermittent abdominal pain that often settles comparatively quickly. [4]. we report three cases of adult intussusception
Summary
Intestinal intussusception in adults is rare (about 0.003%– 0.02% of all hospital admissions) It has traditionally been considered associated with an underlying cause in about 90% of cases [1]. The abdominal CT was in favor of a sigmoid-rectal invagination (Figure 1) without signs of detectable gravity. The abdominal examination had objectified a pain of the left iliac fossa, and with the rectal examination, palpation of the pudding of invagination. Case report 2 Patient aged 68 years, cholecystectomized 2 years ago by laparoscopy, who presents 1 month before his admission of rectorrhagia of medium abundance, associated with chronic constipation. The abdominal CT was in favor of a parietal thickening of the sigmoid loop of tumor appearance associated with a locoregional lymphatic attenuation of the mesosigmoid and inferior mesenteric.
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