Cecal-colic adult intussusception as a cause of intestinal obstruction in Central Africa.
During a 5-year experience in Central Africa, the most common cause of 78 adult intestinal obstructions was primary adult cecal-colic intussusception (n = 43; 55%). The symptom complex of colicky abdominal pain and obstipation was present in 100% of the patients with intussusception. Operative repair in 90% of patients consisted of simple reduction of the intussusceptum. There were no known recurrences. The etiology of adult cecal-colic intussusception is unknown. Patients typically present with a 3- to 4-day history of abdominal pain, obstipation, and usually a palpable mass. Treatment is surgical reduction. Right colectomy is reserved for intestinal gangrene. We treated 43 cases during a 5-year period with only one death.
VanderKolk
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Department of Surgery, Butterworth Hospital, Michigan State University, Grand Rapids 49503, USA.
Snyder
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D000293:Adolescent; D000328:Adult; D002429:Cecal Diseases / Q000209:etiology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology / Q000601:surgery*; D007443:Intussusception / Q000209:etiology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D012432:Rwanda