Two Cases of Adult Intussusception.
- Author:
Gyeong Rae CHAE
1
;
Heui Doo CHEON
;
Hyong Jin TAE
;
Cheol Seung KIM
;
Kwang Min LEE
;
Myong Jin JU
Author Information
1. Department of Surgery, Jeonju Hospital, Jeonju, Korea. chae@mednet.pe.kr
- Publication Type:Case Report
- Keywords:
Adult intussusception
- MeSH:
Adult*;
Barium;
Child;
Child, Preschool;
Colic;
Colon;
Diarrhea;
Emergencies;
Enema;
Humans;
Intussusception*;
Lipoma;
Male;
Meckel Diverticulum;
Middle Aged;
Mucous Membrane;
Tuberculosis
- From:Journal of the Korean Society of Coloproctology
2001;17(2):103-107
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Intussusception can develop at any age but about 95% of patients are children under 2 years-old. Adult intussusception is a rare condition. Unlike children, nearly all adults with intussusception have a lead point such as benign or malignant small bowel tumors, intestinal tuberculosis, or Meckel's diverticulum. First case is a 48-year-old male who was admitted with 2 days of diffuse abdominal cramping pain and no other associated gastrointestinal symptoms. Barium enema revealed ileocolic intussusception with a round cecal mass after barium reduction. An ileocecectomy was performed electively. The pathologic report was cecal cyst, which was an intraluminal structure with an epithelial lining of colonic mucosa. The second case, a 53-year-old male, was admitted with 1 week of diffuse abdominal cramping pain and watery diarrhea. Barium enema revealed ileocecal intussusception. Emergency surgery (ileocecectomy), revealed a polypoid small bowel mass. The pathologic report was lipoma. Recently, we experienced two cases of adult intussusception and report these cases with a brief review of the literature.
