Adult intussusceptions: Clinical presentation, diagnosis and therapeutic management.
BACKGROUND
Adult intussusception is a rare clinical entity. It is an uncommon cause of intestinal obstruction in adult. It often presents with nonspecific symptoms and preoperative diagnosis remains difficult. The purpose of this study was to determine the clinical entity and surgical approach of adult intussusception.


METHODS
We have conducted a retrospective descriptive study starting from 2006 until 2014. We reviewed data for all patients that had been admitted to our department for intestinal intussusception.


RESULTS
Eight consecutive patients were admitted to our department. The mean age was 48 years old (20-71). The sex ratio was 0,6. The clinical presentation was acute in 5 cases. A computed tomography was performed in 6 cases. The diagnosis of gastrointestinal intussusception was made preoperatively in 100% of patients. All patients underwent surgery. An organic lesion was identified in 100% of the cases. In all cases, resection of the intussuscepted intestinal loop was done without intestinal reduction. All patients were well followed up and recurrences have been documented.


CONCLUSIONS
In adults, intussusception is usually secondary to an organic cause. In the absence of signs of severity, etiologic diagnosis based on CT allows the diagnosis of the intussusception and sometimes can detect the causal lesion. Therapeutic sanction of intussusception is surgery and there is more emphasis towards resection without reduction.
Surgery Department La Rabta Hospital, Tunis, Tunisia; Faculty of Medicine of Tunis, University of Tunis El Manar, Tunisia. Electronic address: houcine.maghrebi@gmail.com.
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Maghrebi
Surgery Department La Rabta Hospital, Tunis, Tunisia; Faculty of Medicine of Tunis, University of Tunis El Manar, Tunisia. Electronic address: aminmakni@msn.com.
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Makni
Surgery Department La Rabta Hospital, Tunis, Tunisia; Faculty of Medicine of Tunis, University of Tunis El Manar, Tunisia. Electronic address: rhaiem14@gmail.com.
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Rhaiem
Surgery Department La Rabta Hospital, Tunis, Tunisia; Faculty of Medicine of Tunis, University of Tunis El Manar, Tunisia. Electronic address: souhaib.atri@gmail.com.
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Atri
Oncology Unit, Institut Salah Azaiez, Tunis, Tunisia; Faculty of Medicine of Tunis, University of Tunis El Manar, Tunisia. Electronic address: mounaayadi28@gmail.com.
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Ayadi
Radiology Department La Rabta Hospital, Tunis, Tunisia; Faculty of Medicine of Tunis, University of Tunis El Manar, Tunisia. Electronic address: myriamjrad@gmail.com.
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Jrad
Surgery Department La Rabta Hospital, Tunis, Tunisia; Faculty of Medicine of Tunis, University of Tunis El Manar, Tunisia. Electronic address: mohamedjouini@rns.tn.
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Jouini
Surgery Department La Rabta Hospital, Tunis, Tunisia; Faculty of Medicine of Tunis, University of Tunis El Manar, Tunisia. Electronic address: chirurgie.tn@gmail.com.
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Kacem
Surgery Department La Rabta Hospital, Tunis, Tunisia; Faculty of Medicine of Tunis, University of Tunis El Manar, Tunisia. Electronic address: medecintounsi@gmail.com.
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Bensafta
Adult intussusception; Computed tomography scan; Diagnosis; Surgery