Abstract
Introduction
Adult intussusception represents a challenge to the surgeon as it can cause acute, subacute or chronic non-specific obstruction and presents with dubious clinical features.
Case Report
A forty-six-year-old female presented with progressively worsening abdominal pain, mild abdominal distension, anorexia, profuse vomiting and constipation that had begun thirty six hours earlier.
Discussion
Primary or metastatic malignancies are responsible for 14–47% of all small bowel intussusceptions; in the large bowel 66% of cases have malignant aetiology. In contrast, abdominal X-rays display an intussusception as stacked coins or a coiled spring in the upper GI series and cup-shaped defect in contrast enema. The treatment of choice in adult intussusception is always surgical.
Conclusion
Adult intussusception is a rare entity that may present a diagnostic dilemma due to its non-specific symptoms. However, controversy surrounds the need for reduction and extent of surgical resection.
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Basu, A., Dutta, M.K., De, U. et al. Jejunojejunal intussusception caused by a jejunal gastrointestinal stromal tumour (GIST). Hellenic J Surg 86, 37–41 (2014). https://doi.org/10.1007/s13126-014-0092-2
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DOI: https://doi.org/10.1007/s13126-014-0092-2