Published December 18, 2022 | Version v1
Journal article Open

A CASE OF ADULT INTUSSUSCEPTION: A CASE REPORT

  • 1. Final Year Resident, Department of General Surgery, GIMS, Gadag, Karnataka.
  • 2. Professor & HOD, Department of General Surgery, GIMS, Gadag, Karnataka.
  • 3. Professor & HOD Department of Forensic Medicine & Toxicology ESIC Medical College, PGIMSR Rajajinagar, Bengaluru-560010 Karnataka, India.

Description

Intussusception is a relatively frequent cause of bowel obstruction in infancy, but it accounts for only 02% of bowel obstruction in the adult population. The median age of presentation in adults with intussusception is sixth to seventh decade. In the vast majority of adult intussusceptions, there is a demonstrable inflammatory lesion or a neoplasm that serves as the lead point of the intussusception. However, up to 20% of adult cases are idiopathic. Neoplasms causing intussusception in adults are malignant in almost 50% of patients. In experienced units, more than 70% of intussusceptions can be reduced non-operatively. An irreducible intussusception or one complicated by infarction or a pathological lead point requires resection and primary anastomosis.

 

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