Vol 23, No 1-2 (2021)
Case report
Published online: 2022-04-21
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Transient intussusception without a lead point in adults — a rare condition or a silent cause of common symptoms?

Mateusz Winder12, Michał Kapała2
·
Chirurgia Polska 2021;23(1-2):51-54.
Affiliations
  1. Department of Radiology and Nuclear Medicine, Medical University of Silesia, Katowice, Poland
  2. Department of Radiodiagnostics, Interventional Radiology and Nuclear Medicine, University Clinical Centre, Katowice, Poland

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Vol 23, No 1-2 (2021)
Case reports
Published online: 2022-04-21

Abstract

Bowel intussusception is a rare condition in adults. Two types of intussusception determine its cause —
with and without a lead point. The former, resulting from an organic cause is more common in adults
and usually requires surgical treatment. The symptoms of intussusception include abdominal pain, nausea,
vomiting and gastrointestinal obstruction. Additional symptoms may be due to the presence of the
pathology that constitutes the lead point of intussusception, such as a tumour or inflammatory intestinal
disease. On diagnostic imaging, intussusception appears as a target-sign or sausage-shaped mass. Due
to the rare occurrence of intussusception in adults, special attention should be paid to detecting the underlying
organic causes of its occurrence. Transient intussusception is generally a non-lead point, occurs
incidentally and is not life-threatening. Non-diagnosed periodic abdominal pains in adults can be caused
by a transient intussusception of the small bowel. The article presents and discusses two cases of a rare
transient non-lead point intussusception that was diagnosed during a CT which subsided or occurred
during the consecutive phases of this examination.

Abstract

Bowel intussusception is a rare condition in adults. Two types of intussusception determine its cause —
with and without a lead point. The former, resulting from an organic cause is more common in adults
and usually requires surgical treatment. The symptoms of intussusception include abdominal pain, nausea,
vomiting and gastrointestinal obstruction. Additional symptoms may be due to the presence of the
pathology that constitutes the lead point of intussusception, such as a tumour or inflammatory intestinal
disease. On diagnostic imaging, intussusception appears as a target-sign or sausage-shaped mass. Due
to the rare occurrence of intussusception in adults, special attention should be paid to detecting the underlying
organic causes of its occurrence. Transient intussusception is generally a non-lead point, occurs
incidentally and is not life-threatening. Non-diagnosed periodic abdominal pains in adults can be caused
by a transient intussusception of the small bowel. The article presents and discusses two cases of a rare
transient non-lead point intussusception that was diagnosed during a CT which subsided or occurred
during the consecutive phases of this examination.

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Keywords

transient intussusception; intussusception without a lead point; small bowel; abdominal pain

About this article
Title

Transient intussusception without a lead point in adults — a rare condition or a silent cause of common symptoms?

Journal

Chirurgia Polska (Polish Surgery)

Issue

Vol 23, No 1-2 (2021)

Article type

Case report

Pages

51-54

Published online

2022-04-21

Page views

3269

Article views/downloads

69

DOI

10.5603/ChP.2021.0001

Bibliographic record

Chirurgia Polska 2021;23(1-2):51-54.

Keywords

transient intussusception
intussusception without a lead point
small bowel
abdominal pain

Authors

Mateusz Winder
Michał Kapała

References (5)
  1. Kim YH, Blake MA, Harisinghani MG, et al. Adult intestinal intussusception: CT appearances and identification of a causative lead point. Radiographics. 2006; 26(3): 733–744.
  2. Horton KM, Fishman EK. MDCT and 3D imaging in transient enteroenteric intussusception: clinical observations and review of the literature. AJR Am J Roentgenol. 2008; 191(3): 736–742.
  3. Lai J, Ramai D, Murphy T, et al. Transient Adult Jejunojejunal Intussusception: A Case of Conservative Management vs. Surgery. Gastroenterology Res. 2017; 10(6): 369–371.
  4. Wang LT, Wu CC, Yu JC, et al. Clinical entity and treatment strategies for adult intussusceptions: 20 years' experience. Dis Colon Rectum. 2007; 50(11): 1941–1949.
  5. Marinis A, Yiallourou A, Samanides L, et al. Intussusception of the bowel in adults: a review. World J Gastroenterol. 2009; 15(4): 407–411.

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