[Invagination of the ileum as the etiology of acute abdomen in adults].
In contrast to children, intussusception is an unusual cause of an abdominal emergency in adults. We report on a 65-year-old patient who complained of inconstant crampy abdominal pain for a period of over 6 months. He was admitted to our hospital because of acute intestinal obstruction. Sonography and computer tomography suggested an intussusception. At surgery the diagnosis of an ileo-ileal invagination was confirmed and resection of a segment of the ileum was performed. As shown by macroscopic findings intussusception had existed for several days. Histologically, the underlying disease causing the intussusception was a leiomyoma arising from the submucosa.
Schmidt
S C
SC
Klinik für Allgemein-, Viszeral- und Transplantationschirurgie, Charité Campus Virchow Klinikum, Humboldt-Universität zu Berlin.
Langrehr
J M
JM
Rivas
E
E
D000006:Abdomen, Acute / Q000209:etiology* / Q000601:surgery; D000368:Aged; D006801:Humans; D007077:Ileal Diseases / Q000175:diagnosis* / Q000601:surgery; D007078:Ileal Neoplasms / Q000175:diagnosis / Q000601:surgery; D007443:Intussusception / Q000175:diagnosis* / Q000601:surgery; D007889:Leiomyoma / Q000175:diagnosis / Q000601:surgery; D008297:Male; D014057:Tomography, X-Ray Computed