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A Journal on Surgery

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Chirurgia 2003 February;16(1):23-4

language: English

Intestinal intussusception in the adult. A propos of 2 cases

Florio G., Cicia S., Carnì D.


Intussusception, relatively common in children, is a rare clinical entity in adults where the condition is almost always secondary to an identifiable organic lesion and requires specific management besides that of invagination itself. Diagnosis of adult intussusception is difficult and is often established in the operation room as opposed to children and, unlike the treatment of this condition in children, who can be effectively treated by pneumatic or hydrostatic reduction, management in the adult almost always implies surgical resection. Two cases of intestinal obstruction in adults due to ileo-ileal intussusception are presented. One case occurred in a 71-year-old woman and was due to an inflammatory fibroid polyp localised at 120 cm from the ileo-cecal valve; the 2nd one, discovered in a 35-year-old man, to a Meckel's diverticulum. Each patient underwent a successful limited intestinal resection. The diagnostic and therapeutic aspects of this infrequent disease are discussed.

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