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- Title
Adult colonic intussusception.
- Authors
Lai, Eric Chun-Hung; Lee, Janet Fung-Yee; Ng, Simon Siu-Man; Yiu, Raymond Ying-Chang; Ka-LauLeung
- Abstract
To study the clinical characteristics, investigations, management and pathology in adult colonic intussusception. A retrospective study of seven adult patients who were operated on for the diagnosis of colonic intussusception in our department from January 1999 to September 2003 was carried out. The case records of the seven patients were retrieved. Their clinical presentations, investigations, operative records and pathology were studied. The mean age of the patients was 67.4 years. There were four men and three women. Five of the patients presented with chronic non-specific symptoms and the other two patients presented with acute symptoms. Transabdominal ultrasonography (USG) and computed tomography (CT) scan were used for investigation. In the majority of the patients (87.5%), radiological features of intussusception were shown by USG or CT scan. All seven patients underwent laparotomy exploration with bowel resection. Six patients (85.7%) had lead points with definable pathology. Within the lead points, five patients had primary malignant lesions. With more liberal use of imaging techniques, more adult intussusception can be diagnosed before explorative surgery. Ultrasound would be an ideal tool for initial evaluation. In view of the high chance of associated malignancy, adult colonic intussusception should be resected without prior reduction at the time of surgery.
- Subjects
INTESTINAL intussusception; COLON diseases; ABDOMINAL surgery; SURGICAL excision; PROCTOLOGY; PATHOLOGY
- Publication
Surgical Practice, 2005, Vol 9, Issue 3, p64
- ISSN
1744-1625
- Publication type
Article
- DOI
10.1111/j.1744-1633.2005.00257.x