Invagination in an adult as a rare cause of acute abdomen – 2 case reports
Authors:
J. Majernik; D. Bis; T. Kriegler; P. Hanousek; T. Vltavský; V. Ninger
Authors‘ workplace:
NPK, a. s., Chrudimská nemocnice, primář: MUDr. V. Ninger Ph. D.
Published in:
Rozhl. Chir., 2017, roč. 96, č. 7, s. 302-305.
Category:
Case Report
Overview
The authors present two cases of intestinal invagination in adult patients. The first case is an 84-year-old polymorbid female patient indicated for acute surgical revision due to ileus with a finding of invagination in the sigmoid area, with no evidence of an organic cause. The second case, an 80-year-old polymorbid female patient, was indicated for acute surgical revision also due to ileus with a finding of invagination on the small intestine and with a proven neuroendocrine tumor.
Unlike invagination in childhood where its cause is usually unknown[1,7], intestinal invagination is relatively rare in adults and it is mostly due to an organic cause, most frequently a benign tumor of the small intestine[2]. This study focuses on invagination as a rare cause of acute abdomen in adult patients.
Key words:
invagination – ileus – idiopathic
Sources
1. Amoruso M, D’Abbrico D, Praino S, et al. Idiopathic adult colo-colonic intussusception: case report and review of the literature. International Journal of Surgery Case Reports 2013;4:416–8.
2. Rupert K, Třeška V, Houdek K, et al. Invaginace tenkého střeva v dospělosti. Rozhl Chir 2010;89:417–20,
3. Pavlidis TE, Atmatzidis KS, Galatianos I, et al. Intestinal intussusception in adults-our experience and review of the literature. Annals of Gastroenterology 2004;17:75–8.
4. Kupka P, Bělina F, Chmatál P, et al. Metastáza maligního melanomu distálního ilea jako vzácná příčina ileocékální invaginace-kazuistika. Rozhl Chir 2009;88:1–6.
5. Carlos LE, Gomez-Mateo M, Lopez-Mozos F, et al. Does adult intestinal invagination need surgery? Report of a case and review of literature. International Journal of Clinical Medicine 2011;2:456–8.
6. Křikava K, ml, Pončáková I, Rod Z. Lymfom jako příčina ileocékální invaginace u dětí. Rozhl Chir 2002;81:220–4.
7. Hanan B, Diniz TR, Da Luz MMP, et al. Intussusception in adults: a retrospective study. Colorectal Diseases 2010;12:574–8.
Labels
Surgery Orthopaedics Trauma surgeryArticle was published in
Perspectives in Surgery
2017 Issue 7
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