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A Journal on Surgery
Indexed/Abstracted in: EMBASE, Scopus, Emerging Sources Citation Index
Chirurgia 2005 February;18(1):57-60
Intussusception in adults. Report of two cases
Simatos G., Papanicolaou S;, Nterain A., Mpallas G., Lakiotis G., Galateros G., Argyros D., Gregoropoulos P.
Intussusception in the adult population is considered to be a rare occurrence. While in infants it is usually idiopathic, in adults there is almost always a contributing pathologic entity. Symptomatology is vague and the classic triad of abdominal pain, vomiting and rectal bleeding is rarely encountered. While barium enema is the gold standard for diagnosis and for the reduction of intussusception in children, in adults this is replaced by computed tomography. Surgery is anticipated in adults in a more liberal way, especially if non-operative management is contraindicated or unsuccessful, or if a lead point is suspected. Two cases of intussusception secondary to a tumor in the first case and a Meckel's diverticulum and inflammatory polyp in the second are presented. Emphasis is laid on diagnosis and optimal management as well as on the pathophysiologic mechanisms of intussusception. A review of the literature is also presented.