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2016 ; 57
(4
): 204-7
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Adult intussusception: An 8 years institutional review
#MMPMID27630382
Udo IA
; Abudu EK
; Uduma F
Niger Med J
2016[Jul]; 57
(4
): 204-7
PMID27630382
show ga
BACKGROUND: Intussusception is a rare cause of intestinal obstruction in adults.
Its diagnosis could be elusive based solely on clinical features because of
protean presentation. Supplementary imaging allows for preoperative diagnosis,
early institution of definitive management, and a better clinical outcome.
PATIENTS AND METHODS: Records of adults managed for intestinal obstruction by
laparotomy in a surgical unit of a tertiary health facility were retrospectively
examined. The subgroup having an intraoperative diagnosis of intussusception was
extracted and analyzed. Data obtained included age, sex, and primary symptom at
presentation. Presence of intestinal perforation, the histology of the lead point
of resected tissues, and the final disposition of the patients were documented.
RESULTS: Four hundred and three patients underwent surgical management of
intestinal obstruction. Eight patients (2%) had an intraoperative diagnosis of
intussusception at laparotomy; four males and four females (male: female = 1:1).
Abdominal pain was the presentation in 7 (87.5%) and anal protrusion in 1
(12.5%). Four patients (50%) had bowel perforation with peritonitis. Seven of the
resected intestines had lead points which were benign. Two patients (25%) died
from sepsis. Resection and anastomosis were done for all the patients.
CONCLUSION: Intussusception in adults is uncommon but carries a high morbidity
and mortality which can be reduced with a good clinical assessment, appropriate
imaging, and early laparotomy.
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