dostęp płatny
Transient intussusception without a lead point in adults — a rare condition or a silent cause of common symptoms?
Afiliacje- Department of Radiology and Nuclear Medicine, Medical University of Silesia, Katowice, Poland
- Department of Radiodiagnostics, Interventional Radiology and Nuclear Medicine, University Clinical Centre, Katowice, Poland
dostęp płatny
Streszczenie
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.
Streszczenie
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.
Pełny tekst:
Dodaj do koszyka: 49,00 PLN
Słowa kluczowe
transient intussusception; intussusception without a lead point; small bowel; abdominal pain
Informacje o artykuleTytuł
Transient intussusception without a lead point in adults — a rare condition or a silent cause of common symptoms?
Czasopismo
Numer
Typ artykułu
Opis przypadku
Strony
51-54
Opublikowany online
2022-04-21
Wyświetlenia strony
3270
Wyświetlenia/pobrania artykułu
69
DOI
Rekord bibliograficzny
Chirurgia Polska 2021;23(1-2):51-54.
Słowa kluczowe
transient intussusception
intussusception without a lead point
small bowel
abdominal pain
Autorzy
Mateusz Winder
Michał Kapała
Referencje (5)- 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.
- 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.
- 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.
- 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.
- Marinis A, Yiallourou A, Samanides L, et al. Intussusception of the bowel in adults: a review. World J Gastroenterol. 2009; 15(4): 407–411.
