[Diagnostics and surgical therapy of enteric intussusception in adults illustrated by three cases].
The diagnosis of enteric intussusception is rare in adults but not in children. The clinical picture often takes an insidious course. Acute abdomen may also be caused by enteric intussusception. We report on three patients with enteric intussusception and acute abdomen. In two cases, a CT led to the diagnosis of invagination of the small intestine. In one patient, invagination of the terminal ileum was detected during coloscopy. All patients were submitted to limited segment resection and end-to-end anastomosis. In all three cases, the invagination was caused by benign pathological changes. Enteric intussusception in adults always requires surgery. In more than 95% of the cases, pathological findings are obtained intraoperatively, which are benign in the small intestine in 85-95% of the cases.
D000328:Adult; D000368:Aged; D000465:Algorithms; D003113:Colonoscopy; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007077:Ileal Diseases / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D007078:Ileal Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000473:pathology / Q000601:surgery; D007080:Ileocecal Valve; D007081:Ileostomy; D007082:Ileum / Q000473:pathology; D007417:Intestinal Polyps / Q000150:complications* / Q000175:diagnosis / Q000473:pathology / Q000601:surgery; D007443:Intussusception / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D008067:Lipoma / Q000150:complications* / Q000175:diagnosis / Q000473:pathology / Q000601:surgery; D008875:Middle Aged; D011860:Radiography, Abdominal; D014057:Tomography, X-Ray Computed