Abstract
Intussusception in adults is generally a rare diagnosis and generally different from intussusception in children in terms of clinical presentation, etiology, and incidence (Begos et al., Am J Surg, 173:88–94, 1997; Watson and Bisset, Clin Radiol, 49:723–726, 1994; Felix et al., Am J Surg, 131:723–726, 1976). One third of these affect the large bowel. Adult intussusception shows clinically uncharacteristic symptoms of bowel obstruction; thus, the diagnosis is often clinically missed. We report the case of a 39-year-old woman suffering from long-term abdominal pain. This case report discusses the clinical advantages of multislice computed tomography for the diagnosis of adult intussusception and shows a comprehensive overview of the literature.
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Begos DG, Sandor A, Modlin IM (1997) The diagnosis and management of adult intussusception. Am J Surg 173:88–94
Watson NA, Bisset RA (1994) Case report: intussusception—a cause of chronic abdominal symptoms and weight loss. Clin Radiol 49:723–726
Felix EL, Cohen MH, Bernstein AD, Schwartz JH (1976) Adult intussusception; case report of recurrent intussusception and review of the literature. Am J Surg 131:758–761
Warshauer DM, Lee JK (1999) Adult intussusception detected at CT or MR imaging: clinical-imaging correlation. Radiology 212:853–860
Agha FP (1986) Intussusception in adults. AJR Am J Roentgenol 146:527–531
Laws HL, Aldrete JS (1976) Small-bowel obstruction: a review of 465 cases. South Med J 69:733–734
Azar T, Berger DL (1997) Adult intussusception. Ann Surg 226:134–138
Wayne ER, Campbell JB, Burrington JD, Davis WS (1973) Management of 344 children with intussusception. Radiology 107:597–601
Nagorney DM, Sarr MG, McIlrath DC (1981) Surgical management of intussusception in the adult. Ann Surg 193:230–236
Sato M, Ishida H, Konno K, Komatsuda T, Naganuma H, Watanabe S, Kotanagi H, Ishida J (2000) Long-standing painless intussusception in adults. Eur Radiol 10:811–813
Gayer G, Zissin R, Apter S, Papa M, Hertz M (2002) Pictorial review: adult intussusception–a CT diagnosis. Br J Radiol 75:185–190
Lande A, Schechter LS, Bole PV (1977) Angiographic diagnosis of small intestinal intussusception. Radiology 122:691–693
Kaminski CY, Kaminski JM, Guttentag AR, Tran H (2003) Positron emission tomography in intussusception of colon cancer, where computed tomography failed. Clin Nucl Med 28:60–61
Iko BO, Teal JS, Siram SM, Chinwuba CE, Roux VJ, Scott VF (1984) Computed tomography of adult colonic intussusception: clinical and experimental studies. AJR Am J Roentgenol 143:769–772
Sargent MA, Babyn P, Alton DJ (1994) Plain abdominal radiography in suspected intussusception: a reassessment. Pediatr Radiol 24:17–20
del Pozo G, Albillos JC, Tejedor D, Calero R, Rasero M, de la Calle U, Lopez-Pacheco U (1999) Intussusception in children: current concepts in diagnosis and enema reduction. Radiographics 19:299–319
Ledermann HP, Borner N, Strunk H, Bongartz G, Zollikofer C, Stuckmann G (2000) Bowel wall thickening on transabdominal sonography. AJR Am J Roentgenol 174:107–117
Mussack T, Szeimies U (2002) Sigmoidorectal intussusception caused by rectal carcinoma: multislice CT findings. Abdom Imaging 27:566–569
Beall DP, Fortman BJ, Lawler BC, Regan F (2002) Imaging bowel obstruction: a comparison between fast magnetic resonance imaging and helical computed tomography. Clin Radiol 57:719–724
Kitamura K, Kitagawa S, Mori M, Haraguchi Y (1990) Endoscopic correction of intussusception and removal of a colonic lipoma. Gastrointest Endosc 36:509–511
Gayer G, Apter S, Hofmann C, Nass S, Amitai M, Zissin R, Hertz M (1998) Intussusception in adults: CT diagnosis. Clin Radiol 53:53–57
Catalano O (1997) Transient small bowel intussusception: CT findings in adults. Br J Radiol 70:805–808
Lvoff N, Breiman RS, Coakley FV, Lu Y, Warren RS (2003) Distinguishing features of self-limiting adult small-bowel intussusception identified at CT. Radiology 227:68–72
Cohen MD, Lintott DJ (1978) Transient small bowel intussusception in adult coeliac disease. Clin Radiol 29:529–534
Knowles MC, Fishman EK, Kuhlman JE, Bayless TM (1989) Transient intussusception in Crohn disease: CT evaluation. Radiology 170:814
Zissin R, Lishner M, Rathaus V (1992) Case report: unusual presentation of splenic hamartoma; computed tomography and ultrasonic findings. Clin Radiol 45:410–411
Winawer SJ, Zauber AG, Ho MN, O’Brien MJ, Gottlieb LS, Sternberg SS, Stewart ET, Bond JH, Schapiro M, Panish JF (1993) The National Polyp Study. Eur J Cancer Prev 2(Suppl 2):83–87
Collins DC (1963) 71,000 human appendix specimens. A final report, summarizing forty years study. Am J Proctol 14:265–281
Visvanathan R, Nichols TT, Reznek RH (1997) Acquired immune deficiency syndrome-related intussusception in adults. Br J Surg 84:1539–1540
Naganuma H, Ishida H, Konno K, Komatsuda T, Sato M, Funaoka M, Fujimori S (1999) Intussusception in Peutz–Jeghers syndrome: sonographic findings. Abdom Imaging 24:333–335
Laredo J, Filtzer HS (2000) Right colonic intussusception. Am J Surg 179:485
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Floemer, F., Bissig, H., Oertli, D. et al. Multislice CT in adult colocolic intussusception: case report and review of the literature. Emerg Radiol 15, 361–366 (2008). https://doi.org/10.1007/s10140-007-0682-1
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DOI: https://doi.org/10.1007/s10140-007-0682-1