Intussusception in adults

Cotlar, Alvin M.; Cohn, Isidore

doi:10.1016/0002-9610(61)90663-8

Cited by 40 publications

(21 citation statements)

References 7 publications

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“…In these cases, the ileocecal area was the site most commonly involved (82%), with hypertrophic Peyer's patches of the terminal ileum being responsible for 39% of the idiopathic intussusceptions of the ileocecal area. In the small intestine, an intussusception can be secondary to the presence of either intra-or extra-luminal lesions (19). Although the exact mechanism is unknown, the edematous bowel wall with thickened Peyer's patches or the hypertrophied lymph nodes around the telescoped ileum, possibly resulting from infection, may have acted as a mechanical lead point for the intussusception in the present case.…”

Section: Discussionmentioning

confidence: 82%

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Adult Intussusception Caused by <i>Yersinia enterocolitica</i> Enterocolitis

et al. 2012

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Yersinia enterocolitica (YE) infection is a rare cause of intestinal intussusception, especially in adults. We herein, report a case of adult intussusception due to YE enterocolitis. A 24-year-old woman was admitted because of severe abdominal pain. She was clinically diagnosed with ileocolic intussusception on the basis of the findings of computed tomography (CT) and a gastrografin enema. Manual surgical reduction was sufficient to alleviate the intussusception. A histological examination of the lymph nodes around the ileocecum excluded lymphoma. Serological testing revealed that the cause of the intussusception was a YE infection. The patient's postoperative course was good and no recurrence was seen during the follow-up.

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Section: Discussionmentioning

confidence: 82%

“…In contrast to intussusceptions in children, approximately 70-90% of adults have an organic lesion that serves as a lead point within the intussusception (19)(20)(21)(22). Many previous reports of intussusception due to YE infection suggested that the lead point was a secondary mass effect caused by lymphoid hyperplasia.…”

Section: Discussionmentioning

confidence: 99%

Adult Intussusception Caused by <i>Yersinia enterocolitica</i> Enterocolitis

et al. 2012

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“…Chaffin ef al. In their series the maternal mortality was 75% and in those cases occurring before delivery only (Cotlar & Cohn 1961). They found 20 reported cases of intussusception in pregnancy or the puerperium during the years 1870 to 1936.…”

Section: Discussionmentioning

confidence: 94%

“…Of the 14 reported cases of intussusception occurring in pregnancy or the puerperium during the past 30 years, a precipitating cause was found in 11 (79%), with ileo-caecal intussusception the most common type and Meckel's diverticulum the most common precipitating factor. However, the clinical picture and X-ray findings associated with intussusception in adults are bizarre and a correct pre-operative diagnosis is rarely made (Cotlar & Cohn 1961). Intussusception in infants is characterized by the sudden onset of severe cramping abdominal pain, vomiting and eventually the passage of blood and mucus per rectum.…”

Section: Discussionmentioning

confidence: 99%

Intussusception in pregnancy. Case report and review of the literature

Watson

Quayle

1986

BJOG

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A 23-year-old woman was admitted to the obstetric ward at 37 weeks in her fourth pregnancy. She complained of colicky generalized abdominal pain and nausea for 6 h before her admission. The antenatal period had been uneventful. On examination the uterus was not tender, consistent with 37 weeks gestation, and a fetal heart beat was present. There was tenderness on palpation in the epigastrium and right hypochondrium, but there was no abdominal guarding and normal bowel sounds were present. Her pain settled but returned 48 h later with vomiting of bile-stained fluid. Biliary colic was diagnosed. A full blood count, plasma electrolytes and serum amylase were normal and a plain abdominal X-ray showed no abnormality. She was treated with intravenous fluids and again her symptoms quickly settled. Four days after admission an ultrasound examination was performed. This showed a normal gall bladder, liver and kidneys but also revealed an elliptical cystic mass extending from the renal angle into the right iliac fossa. The nature of the mass was uncertain but it was considered that it might be dilated loops of small bowel. The patient remained asymptomatic. A week after admission she developed a further recurrence of right sided upper abdominal pain and vomiting. At the time she also reported reduced fetal movements. Cardiototography showed diminished baseline variability and reduced fetal movements. Because of the abnormal fetal heart trace, labour was induced and 1 h later, at only

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“…[6][7][8][9][10][11] Azar and Berger 11 reported that adult invagination represented 1% of all bowel obstructions, 5% of all invaginations, and 0.003%-0.02% of all hospital admissions. The causes of invagination in adults include idiopathy, tumors, postoperative adhesions, and a long intestinal tube; 1-11 however, invagination induced by a long intestinal tube has rarely been documented in the literature.…”

Section: Discussionmentioning

confidence: 99%