A clinicopathologic analysis of intussusception among Pakistani adults
Keywords:
bowel obstruction, adult intussusception, ileoileocolic, lead pointAbstract
The intussusception adults are rare and almost always as a result of secondary condition. The aim of this study is to review the adult intussusception's presentation, diagnosis, and pathophysiology was the goal of this study. Methods: This retrospective analysis study was held in the surgical department of Lady Reading Hospital, Peshawar from April 2022 to September 2022. This study included 24 cases of intussusception in patients >18 years of age. Results: 24 cases of intussusception among adult were reported. The mean age was 49.2 years on average (range 20-75 years). All patients' initial complaints in this study was pain accompanied by abdominal distension (37.5%), Vomiting (79.2%) and currant-jelly stools (33.3%) were other symptoms.12 patients (50%) had a palpable lump, while 8 patients (33.33%) had tenderness and generalized guarding was seen in 6(25%) of patients. Eleven patients (45.8%) had an acute intestinal obstruction on admission. The range of symptoms' lengths was 20 hours to 10 months, with a median of five days. The laparotomies were done in 19 patients. Five patients; two with ileoileal intussusception and three with ileocolic, were scheduled for surgery, but over the course of a few hours, their lump disappeared with symptoms improvement.
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Al-Radaideh AM, Omari HZ, Bani-Hani KE. Adult intussusception: A 14-year retrospective study of clinical assessment and computed tomography diagnosis. Acta Gastro-Enterologica Belgica. 2018 Jul 1;81.
Al-Radaideh AM, Omari HZ, Bani-Hani KE. Adult intussusception: A 14-year retrospective study of clinical assessment and computed tomography diagnosis. Acta Gastro-Enterologica Belgica. 2018 Jul 1;81.
Behrooz A, Cleasby M. Gastrogastric intussusception in adults: a case report with review of the literature. BJR| case reports. 2018 Dec;4(4):20180006.
Binkovitz LA, Kolbe AB, Orth RC, Mahood NF, Thapa P, Hull NC, Thacker PG, Moir C. Pediatric ileocolic intussusception: new observations and unexpected implications. Pediatric Radiology. 2019 Jan;49(1):76-81.
Caruso AM, Pane A, Scanu A, Muscas A, Garau R, Caddeo F, Mascia L. Intussusception in children: not only surgical treatment. Journal of Pediatric and Neonatal Individualized Medicine (JPNIM). 2017 Feb 25;6(1):e060135-.
Cho MJ, Nam CW, Choi SH, Hwang EH. Management of recurrent ileocolic intussusception. Journal of pediatric surgery. 2020 Oct 1;55(10):2150-3.
Edwards EA, Pigg N, Courtier J, Zapala MA, MacKenzie JD, Phelps AS. Intussusception: past, present and future. Pediatric radiology. 2017 Aug;47:1101-8.
Gluckman S, Karpelowsky J, Webster AC, McGee RG. Management for intussusception in children. Cochrane Database of Systematic Reviews. 2017(6).
Hong KD, Kim J, Ji W, Wexner SD. Adult intussusception: a systematic review and meta-analysis. Techniques in coloproctology. 2019 Apr 1;23:315-24.
Kelley-Quon LI, Arthur LG, Williams RF, Goldin AB, Peter SD, Beres AL, Hu YY, Renaud EJ, Ricca R, Slidell MB, Taylor A. Management of intussusception in children: a systematic review. Journal of pediatric surgery. 2021 Mar 1;56(3):587-96.
Kim JW, Lee BH, Park SG, Kim BC, Lee S, Lee SJ. Factors predicting malignancy in adult intussusception: an experience in university-affiliated hospitals. Asian journal of surgery. 2018 Jan 1;41(1):92-7.
Lin XK, Xia QZ, Huang XZ, Han YJ, He GR, Zheng N. Clinical characteristics of intussusception secondary to pathologic lead points in children: a single-center experience with 65 cases. Pediatric Surgery International. 2017 Jul;33:793-7.
Marsicovetere P, Ivatury SJ, White B, Holubar SD. Intestinal intussusception: etiology, diagnosis, and treatment. Clinics in colon and rectal surgery. 2017 Feb;30(01):030-9.
Ondhia MN, Al-Mutawa Y, Harave S, Losty PD. Intussusception: A 14-year experience at a UK tertiary referral centre. Journal of Pediatric Surgery. 2020 Aug 1;55(8):1570-3.
Panzera F, Di Venere B, Rizzi M, Biscaglia A, Praticò CA, Nasti G, Mardighian A, Nunes TF, Inchingolo R. Bowel intussusception in adult: prevalence, diagnostic tools and therapy. World Journal of Methodology. 2021 May 5;11(3):81.
Plut D, Phillips GS, Johnston PR, Lee EY. Practical imaging strategies for intussusception in children. American Journal of Roentgenology. 2020 Dec;215(6):1449-63.
Reddy SN, Nair NP, Tate JE, Thiyagarajan V, Giri S, Praharaj I, Mohan VR, Babji S, Gupte MD, Arora R, Bidari S. Intussusception after rotavirus vaccine introduction in India. New England Journal of Medicine. 2020 Nov 12;383(20):1932-40.
Shenoy S. Adult intussusception: A case series and review. World Journal of Gastrointestinal Endoscopy. 2017 May 5;9(5):220.
Simon NM, Joseph J, Philip RR, Sukumaran TU, Philip R. Intussusception: single center experience of 10 years. Indian Pediatrics. 2019 Jan;56:29-32.
Tarchouli M, Ali AA. Adult intussusception: an uncommon condition and challenging management. Visceral Medicine. 2021;37(2):120-7.
Tate JE, Mwenda JM, Armah G, Jani B, Omore R, Ademe A, Mujuru H, Mpabalwani E, Ngwira B, Cortese MM, Mihigo R. Evaluation of intussusception after monovalent rotavirus vaccination in Africa. New England Journal of Medicine. 2018 Apr 19;378(16):1521-8.
Xie X, Wu Y, Wang Q, Zhao Y, Xiang B. Risk factors for recurrence of intussusception in pediatric patients: a retrospective study. Journal of Pediatric Surgery. 2018 Nov 1;53(11):2307-11.
Ye X, Tang R, Chen S, Lin Z, Zhu J. Risk factors for recurrent intussusception in children: a systematic review and meta-analysis. Frontiers in pediatrics. 2019 Apr 16;7:145.
Zhang M, Zhou X, Hu Q, Jin L. Accurately distinguishing pediatric ileocolic intussusception from small-bowel intussusception using ultrasonography. Journal of Pediatric Surgery. 2021 Apr 1;56(4):721-6.
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