| Title |
Suaugusiųjų žarnos invaginacija: klinikinio atvejo pristatymas ir literatūros apžvalga / |
| Translation of Title |
Bowel intussusception in adults: a case report and literature review. |
| Authors |
Jurgaitis, Jonas ; Sologubovas, Saulius ; Asejev, Viktor ; Paškonis, Marius ; Lipnickas, Vytautas ; Dukštaitė, Asta ; Rutkauskaitė, Dileta ; Strupas, Kęstutis |
| DOI |
10.15388/LietChirur.2012.1.2076 |
| Full Text |
|
| Is Part of |
Lietuvos chirurgija.. Vilnius : Lietuvos chirurgų asociacija. 2012, t. 10, nr. 1-2, p. 53-59.. ISSN 1392-0995 |
| Keywords [eng] |
Bowel intussusception ; Lipoma |
| Abstract [eng] |
Background. Intussusception occurs when a proximal segment of the bowel (intussusceptum) telescopes or invaginates into the lumen of the adjacent distal segment (intussuscipiens). Intussusception is usually found in children. The incidence of intussusception in adults is only 2–3 cases per million per year and is usually caused by a small bowel lesion acting as the apex of the intussusception. The clinical symptoms of intussusception in adults vary and may present as acute, intermittent or chronic. Usually, bowel obstruction is diagnosed, and the diagnosis of intussuception remains unclear preoperatively. Case report. The patient presented with symptoms of bowel obstruction. She underwent several diagnostic procedures, including sonoscopy; finally, the possibility of intussusception was raised by a computed tomographic scan of the abdomen. The patient underwent a reduction on intussusception and resection of the intussuscepted intestine, which resulted in a long-lasting resolution of the symptoms. The resected specimen contained a tumour which was diagnosed histopathologically as an intestinal lipoma. This case highlights the uncommon causation of adult intussusception by an intestinal lipoma. Conclusion. Unfortunately, the diagnostics of bowel intussusception in adults is still relatively difficult due to the lack of specific symptoms, and the real cause of intussusception is revealed only perioperatively. |
| Published |
Vilnius : Lietuvos chirurgų asociacija |
| Type |
Journal article |
| Language |
Lithuanian |
| Publication date |
2012 |
| CC license |
|
