Adult Intussusception: Presentation, Management, and Outcomes of 148 Patients

Lindor, Rachel A.; Bellolio, M. Fernanda; Sadosty, Annie T.; Earnest, Franklin; Cabrera, Daniel

doi:10.1016/j.jemermed.2011.05.098

Cited by 50 publications

(50 citation statements)

References 13 publications

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“…Other symptoms include diarrhea, constipation, melena, weight loss, fever, and constipation [4,5]. Nevertheless, presenting symptoms are nonspecific and up to 20% of patients may actually be asymptomatic when diagnosed [4].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Treatment of adult idiopathic ileocolic intussusception with non-operative reduction under fluoroscopic guidance

Yoon¹,

Higashi²,

Horiguchi³

2016

Gastroenterol Hepatol Endosc

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Section: Discussionmentioning

confidence: 99%

“…Pathologic lesions that serve as potential lead points include malignant tumors, Meckel's diverticulum, strictures or benign neoplasms. Nevertheless, up to 40% of adult patients may present as idiopathic intussusceptions [2,4].…”

Section: Introductionmentioning

confidence: 99%

Treatment of adult idiopathic ileocolic intussusception with non-operative reduction under fluoroscopic guidance

Yoon¹,

Higashi²,

Horiguchi³

2016

Gastroenterol Hepatol Endosc

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“…US is usually the first diagnostic modality chosen, especially when the lipoma is accompanied by intestinal intussusception. Classic features are a "doughnut sign" or "pseudo-kidney", but image interpretation can be difficult in the presence of air [9]. The characteristic US finding associated with an intussusception is the "target sign", in which the outermost layer represents the sheath, and the multilayer ring structure represents the invaginated intestinal segment [10].…”

Section: Discussionmentioning

confidence: 99%

Ileo-colic intussusception by ileo-cecal valve lipoma – an infrequent ultrasonographic occurrence. A case report.

Stancu

Chira

et al. 2016

Med Ultrason

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We present a rare cause of intestinal obstruction in an adult, due to ileo-colic intussusception by a lipoma of the ileo-cecal valve and its ultrasonographic presentation. The case presented in emergency for spontaneously appearing and disappearing palpable elastic mass in the right iliac fossa. The ultrasonographic examination raised the suspicion of an ileo-colic intussusception due to a polypoid tumor. The contrast-enhanced computed tomography confirmed the finding and suggested that the polypoid tumor was more likely a lipoma. Right hemicolectomy and cholecystectomy were performed and the pathological examination confirmed the lipoma. The evolution of the patient was favourable and uneventful.

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“…Th ere are multiple types of intussusception, such as gastro-duodenal, jejuno-jejunal, ileoileal, ileo-colic, and colo-colic (5)(6)(7)(8). In children, 90% of the intussusceptions are ileo-colic and idiopathic (1,10). In a recent study with 148 adults, 80% of the cases were enteric intussusceptions (1,6,8).…”

Section: Discussionmentioning

confidence: 99%

“…In children, 90% of the intussusceptions are ileo-colic and idiopathic (1,10). In a recent study with 148 adults, 80% of the cases were enteric intussusceptions (1,6,8). In adults, 80% of the intussusceptions are secondary to a pathologic process such as tumors, suture lines, or adhesions (2).…”

Section: Discussionmentioning

confidence: 99%