Adult intussusception secondary to an ileum hamartoma.

Autor: Nuño-Guzmán CM; Carlos M Nuño-Guzmán, José Arróniz-Jáuregui, José Ignacio Gómez-Ontiveros, Arturo Vargas-Gerónimo, Jesús Valle-González, Department of General Surgery, Antiguo Hospital Civil de Guadalajara 'Fray Antonio Alcalde', Calle Hospital No. 278, Sector Hidalgo. C.P. 44280, Guadalajara, Jalisco, Mexico., Arróniz-Jáuregui J, Espejo I, Solís-Ugalde J, Gómez-Ontiveros JI, Vargas-Gerónimo A, Valle-González J
Jazyk: angličtina
Zdroj: World journal of gastrointestinal oncology [World J Gastrointest Oncol] 2011 Jun 15; Vol. 3 (6), pp. 103-6.
DOI: 10.4251/wjgo.v3.i6.103
Abstrakt: Intussusception is a rare condition in the adult population. However, in contrast to its presentation in children, an identifiable etiology is found in the majority of cases. Clinical manifestations of adult intussusception are non-specific and patients may present with acute, intermittent or chronic symptoms, predominantly those of intestinal obstruction. A 27-year-old male patient with recurrent abdominal pain secondary to intussusception is herein reported. The clinical presentation and ultrasonographic findings led to the diagnosis. At laparotomy, an ileal hamartoma was found as the lead point of the intussusception. Surgical management and histopathologic studies are described. A recurrent intestinal obstruction and classic ultrasound findings may lead to the diagnosis of intussusception but surgical exploration remains essential. The principle of resection without reduction is well established.
Databáze: MEDLINE