What is the most common cause of intussusception in adults?
What is the most common cause of intussusception in adults?
In adults, intussusception is usually the result of a medical condition or procedure, including: A polyp or tumor. Scar-like tissue in the intestine (adhesions) Weight-loss surgery (gastric bypass) or other surgery on the intestinal tract.
What does intussusception feel like in adults?
In adults, intussusception is usually accompanied with intermittent abdominal pain, nausea, vomiting, constipation, melena, weight loss, and fever. Abdominal pain is considered to be the most common symptom, presenting in 70-100% of cases [15].
How is intussusception diagnosed in adults?
Abdominal CT is now widely regarded as the modality of choice for diagnosing intussusceptions in adults. The CT finding of a heterogeneous “target” or “sausage-shaped” soft-tissue mass consisting of an outer intussuscipiens and central intussusceptum is virtually pathognomonic.
Is intussusception in adults an emergency?
Adult bowel intussusception is a rare and challenging condition. Preoperative diagnosis is often missed or delayed because of non-specific symptoms. Intussusception is a surgical emergency, and delays in treatment can lead to high mortality.
Can intussusception fix itself in adults?
Intussusception in adults can be further classified according to the presence of a lead point or not[19]: transient non-obstructing intussusception without a lead point has been described in patients with celiac[20] or Crohn’s[21] disease, but is more frequently idiopathic and resolves spontaneously without any …
What’s the best treatment for intussusception?
Treatment options for intussusception may include:
- A water soluble contrast or air enema. This is both a diagnostic procedure and a treatment.
- Surgery. If the intestine is torn, if an enema is unsuccessful in correcting the problem or if a lead point is the cause, surgery is necessary.
How common is intussusception in adults?
However, bowel intussusception in adults is considered a rare condition, accounting for 5% of all cases of intussusceptions and almost 1%-5% of bowel obstruction. Eight to twenty percent of cases are idiopathic, without a lead point lesion.
What was the diagnosis and treatment of adult intussusception?
Seven cases of adult intussusception were encountered at our institute between 1991 and 2001. Data related to presentation, diagnosis, treatment, and pathology were analyzed. Preoperative diagnosis was made in four patients by CT scan and/or ultrasonography. Two patients had colonic cancer and one had jejunal cancer.
What are the risk factors for intussusception in children?
Risk factors for intussusception include: Age. Children — especially young children — are much more likely to develop intussusception than adults are. Sex. Intussusception more often affects boys. Abnormal intestinal formation at birth.
What are the medical conditions that can cause gout?
Medical conditions. Certain diseases and conditions increase your risk of gout. These include untreated high blood pressure and chronic conditions such as diabetes, obesity, metabolic syndrome, and heart and kidney diseases. Certain medications.
What does it mean to have intussusception of the bowel?
Abstract. Intussusception of the bowel is defined as the telescoping of a proximal segment of the gastrointestinal tract within the lumen of the adjacent segment. This condition is frequent in children and presents with the classic triad of cramping abdominal pain, bloody diarrhea and a palpable tender mass.