Adult Intussusception - TAddona

Adult Intussusception - TAddona - Since symptomatology...

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Adult Intussusception Primarily dz of childhood Infrequently seen in adults 5% of all intussusceptions occur in adults Account for ~ 5% of SBO in adults
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Etiology Children – 90 % idiopathic (adenovirus – enlargement of Peyers patches) Adults – 90 % due to identifiable lesion (neoplasm) Common location – jxns btw/ freely moving segments & fixed segments (retroperitoneal – ileocecal)
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Adult Intussusception Majority occur in small bowel – predominantly caused by benign neoplasms In large bowel – lead point often is malignant etiology Other possibilities – appendix; AIDS pts
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Presentation Nonspecific chronic / subacute symptoms related to intermittent PSBO More acute – intermittent pain / BRBPR
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Diagnosis
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Unformatted text preview: Since symptomatology varies difficult to diagnosis to make preoperatively AXR air crescent intraluminal air trapped btwn walls Barium coiled spring contrast in compressed lumen Ultrasound target or doughnut sign CT target sign or appears as a mass lesion Barium Enema Diagnosis Since symptomatology varies difficult to diagnosis to make preoperatively AXR air crescent intraluminal air trapped btwn walls Barium coiled spring contrast in compressed lumen Ultrasound target or doughnut sign CT target sign or appears as a mass lesion Treatment Predominantly surgery reduction / resection...
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Adult Intussusception - TAddona - Since symptomatology...

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