D�nndarminvagination beim Erwachsenen

Pohlen, U.; Eberhardt, Heinrich; Kruschewski, M.; Hj, Buhr

doi:10.1007/s00104-002-0596-0

Cited by 6 publications

(1 citation statement)

References 17 publications

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“…Entscheidende Bedeutung kommt deshalb der sonographischen Bildgebung zu. Die wichtigste Differenzialdiagnose betrifft dabei die ileokolische Invagination, die beim Erwachsenen sehr selten auftritt und regelhaft Folge einer endo-oder paraluminalen Raumforderung ist [2,5,10]. Beim isolierten Ödem der Bauhin-Klappe lässt sich sonographisch eine homogen verdickte Ileozäkalklappe darstellen, die neben einem zentral homogen echoarmen Areal eine relative Echoverdichtung der umgebenden Schicht aufweist.…”

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Isolierte ödematöse Schwellung der Bauhin-Klappe - Sonographische Verdachtsdiagnose einer seltenen ileozäkalen Erkrankung

et al. 2005

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Isolated edematous swelling of Bauhin's valve is a rare finding in cases of non-specific abdominal complaints in the lower right abdominal quadrant. The differential diagnosis includes entities such as tumours, chronic gastrointestinal inflammation and ileocoecal intussusception as well as specific infections, all of which require individual therapy. Based on two current cases and a review of the literature, aetiology, clinical picture and diagnostic findings of isolated edema of the ileocoecal valve are described. The typical ultrasound findings are presented. Due to its potential of excluding other diseases, modern ultrasound offers promising results in the case of isolated edematous swelling of Bauhin's valve.

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Section: Diskussionunclassified

Isolierte ödematöse Schwellung der Bauhin-Klappe - Sonographische Verdachtsdiagnose einer seltenen ileozäkalen Erkrankung

et al. 2005

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Ileozökale Invagination infolge Dünndarmmetastase eines Lungenkarzinoms

Pollheimer

Eberl²,

Baumgartner³

et al. 2009

Wien Klin Wochenschr

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Intussusception is a rare clinical finding in adults. Most cases occur in the distal small bowel or large intestine. We report the case of a 65-year-old woman with known non-small-cell lung cancer (NSCLC) who presented with acute abdomen and ileus-like symptoms. Abdominal computed tomography suggested ileocecal intussusception. The patient underwent right hemicolectomy and the histopathological workup showed ileal NSCLC metastasis as the lead lesion of intussusception. The classic triad of cramping abdominal pain, bloody diarrhea and a palpable tender mass, which is present in the majority of pediatric patients, is only infrequently observed in adults. Thus, symptoms are often nonspecific and the clinical presentation may be inconspicuous. Because of the large proportion of structural anomalies, adult intussusception requires definitive treatment, of which surgical resection is the treatment of choice. In patients with colocolonic or ileocolonic intussusception, malignancy should be considered and therefore en bloc resection rather than reduction is the recommended surgical technique, whereas cases of enteric intussusceptions may be reduced by limited resection of the small intestine.

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Bowel intussusceptions in adults: the role of imaging

Somma

Faggian²,

Serra³

et al. 2014

Radiol med

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Intestinal intussusception in adults is a rare condition, accounting for about 0.003-0.02% of all hospital admissions. This condition in adults represents only 5% of all cases of intussusceptions and is different from paediatric intussusception, which is usually idiopathic. In contrast, almost 90% of cases in adults are secondary to various pathologies that serve as a lead point, such as polyps, Meckel's diverticulum, colonic diverticulum, or malignant or benign neoplasm. The aim of the present study was to assess the capabilities of multislice computed tomography (MSCT) in the diagnosis and correct characterisation of intussusception, especially in distinguishing between intussusceptions with a lead point and those without. Indeed, although the MSCT findings that help to differentiate between lead point and non-lead point intussusceptions have not been well studied, abdominal MSCT remains the most sensitive radiological tool to confirm bowel intussusceptions. Moreover, differentiating intussusceptions with a lead point condition from those without is crucial for directing the patient towards the most appropriate treatment, avoiding surgery when not necessary.

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D�nndarminvagination beim Erwachsenen

Cited by 6 publications

References 17 publications

Isolierte ödematöse Schwellung der Bauhin-Klappe - Sonographische Verdachtsdiagnose einer seltenen ileozäkalen Erkrankung

Isolierte ödematöse Schwellung der Bauhin-Klappe - Sonographische Verdachtsdiagnose einer seltenen ileozäkalen Erkrankung

Ileozökale Invagination infolge Dünndarmmetastase eines Lungenkarzinoms

Bowel intussusceptions in adults: the role of imaging

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