title: Intussusception in Adults: The Role of MDCT in the Identification of the Site and Cause of Obstruction.
abstract: Unlike pediatric intussusception, intestinal intussusception is infrequent in adults and it is often secondary to a pathological condition. The growing use of Multi-Detector Computed Tomography (MDCT) in abdominal imaging has increased the number of radiological diagnoses of intussusception, even in transient and nonobstructing cases. MDCT is well suited to delineate the presence of the disease and provides valuable information about several features, such as the site of intussusception, the intestinal segments involved, and the extent of the intussuscepted bowel. Moreover, MDCT can demonstrate the complications of intussusceptions, represented by bowel wall ischemia and perforation, which are mandatory to promptly refer for surgery. However, not all intussusceptions need an operative treatment. In this paper, we review the current role of MDCT in the diagnosis and management of intussusception in adults, focusing on features, as the presence of a leading point, that may guide an accurate selection of patients for surgery.
authors.affiliation: Department of Emergency Radiology, S. Camillo Hospital, Circonvallazione Gianicolense 87, 00152 Rome, Italy.
authors.forename: Viola
authors.initials: V
authors.lastname: Valentini
authors.affiliation: Department of Emergency Radiology, S. Camillo Hospital, Circonvallazione Gianicolense 87, 00152 Rome, Italy.
authors.forename: Grazia Loretta
authors.initials: GL
authors.lastname: Buquicchio
authors.affiliation: Department of Emergency Radiology, S. Camillo Hospital, Circonvallazione Gianicolense 87, 00152 Rome, Italy.
authors.forename: Michele
authors.initials: M
authors.lastname: Galluzzo
authors.affiliation: Department of Emergency Radiology, S. Camillo Hospital, Circonvallazione Gianicolense 87, 00152 Rome, Italy.
authors.forename: Stefania
authors.initials: S
authors.lastname: Ianniello
authors.affiliation: Department of Radiology, Second University of Naples, Piazza Miraglia 2, 80138 Naples, Italy.
authors.forename: Graziella
authors.initials: G
authors.lastname: Di Grezia
authors.affiliation: Department of Radiology, Second University of Naples, Piazza Miraglia 2, 80138 Naples, Italy.
authors.forename: Rosa
authors.initials: R
authors.lastname: Ambrosio
authors.affiliation: Department of Emergency Radiology, S. Camillo Hospital, Circonvallazione Gianicolense 87, 00152 Rome, Italy.
authors.forename: Margherita
authors.initials: M
authors.lastname: Trinci
authors.affiliation: Department of Emergency Radiology, S. Camillo Hospital, Circonvallazione Gianicolense 87, 00152 Rome, Italy.
authors.forename: Vittorio
authors.initials: V
authors.lastname: Miele
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