Öz
Intussusception is a disease of childhood and almost always the etiology is idiopathic. We report the case of an 85-year-old woman with ileocolic intussusception that was diagnosed by abdominal computed tomography. With the symptoms of abdominal pain, distention, nausea and vomiting, she subsequently underwent emergency right hemicolectomy. The final diagnosis was ileocolic intussusception due to lipoma, which was confirmed by histopathology. In elderly, frequent diarrhea attacks, coliky pain and incomplete obstruction should be taken into consideration as a possible diagnosis in this uncommon clinical condition
Anahtar Kelimeler
Intestinal obstruction ileocolic intussusception intestinal lipoma
Kaynakça
- 1. Azar T, Berger DL. Adult intussusception. Ann Surg 1997; 226: 134-8
- 2. Jabar MF, Prasannan S, Gul YA. Adult intussusception secondary to inflammatory polyps. Asian J Surg 2005; 28: 58- 61.
- 3. Eisen LK, Cunningham JD, Aufses AH Jr. Intussusception in adults: institutional review. J Am Coll Surg 1999; 188:390
- 4. Weilbaecher D, Bolin JA, Hearn D, Ogden W 2nd. Intussusception in adults. Review of 160 cases. Am J Surg 1971; 121: 531-5
- 5. Begos DG, Sandor A, Modlin IM. The diagnosis and management of adult intussusception. Am J Surg 1997; 173:88-94
- 6. Bar-Ziv J, solomon A. Computed tomography in adult intussusception. Gastrointest Radiol 1991;16:264-6.
- 7. Fujimoto T, Isomoto I, Matsunaga N, Nagayoshi K, Fukuda T, Takeda H, Hayashi K. Reevaluation of US and CT findings in adult intussusception. Nippon Igaku Hoshasen Gakkai Zasshi 1992; 25;52:14-22.
- 8. Fujii Y, Taniguchi N, Itoh K. Intussusception induced by villous tumor of the colon: sonographic findings. J Clin Ultrasound 2002; 30: 48-51
- 9 . Barussaud M, Regenet N, Briennon X, de Kerviler B, Pessaux P, Kohneh-Sharhi N, Lehur PA, Hamy A, Leborgne J, le Neel JC, Mirallie E. Clinical spectrum and surgical approach of adult intussusceptions: a multicentric study. Int J Colorectal Dis 2006; 21: 834-9
- 10 . Karahasanoglu T, Memisoglu K, Korman U, Tunckale A, Curgunlu A, Karter Y. Adult intussusception due to inverted Meckel’s diverticulum: laparoscopic approach. Surg Laparosc Endosc Percutan Tech 2003; 13: 39-41
Öz
İntususepsiyon özellikle çocukluk çağının, etiolojisi her zaman belli olmayan bir hastalığıdır. Biz 85 yaşında tomografik incelemede ileokolik intususepsiyon tanısı alan bir olguyu sunuyoruz. Karın ağrısı, distansiyon, bulantı ve kusma şikayetiyle başvuran hasta acil operasyona alınarak sağ hemikolektomi uygulanmıştır. Histopatolojik inceleme sonucunda lipoma bağlı ileokolik intususepsiyon tanısı konmuştur. Özellikle yaşlılarda sık diyare atakları, kolik ağrılar, tam olmayan tıkanıklık durumlarında bu nadir klinik tablo hesaba katılmalıdır
Anahtar Kelimeler
Bağırsak tıkanıklığı ileokolik intususepsiyon intestinal lipom
Kaynakça
- 1. Azar T, Berger DL. Adult intussusception. Ann Surg 1997; 226: 134-8
- 2. Jabar MF, Prasannan S, Gul YA. Adult intussusception secondary to inflammatory polyps. Asian J Surg 2005; 28: 58- 61.
- 3. Eisen LK, Cunningham JD, Aufses AH Jr. Intussusception in adults: institutional review. J Am Coll Surg 1999; 188:390
- 4. Weilbaecher D, Bolin JA, Hearn D, Ogden W 2nd. Intussusception in adults. Review of 160 cases. Am J Surg 1971; 121: 531-5
- 5. Begos DG, Sandor A, Modlin IM. The diagnosis and management of adult intussusception. Am J Surg 1997; 173:88-94
- 6. Bar-Ziv J, solomon A. Computed tomography in adult intussusception. Gastrointest Radiol 1991;16:264-6.
- 7. Fujimoto T, Isomoto I, Matsunaga N, Nagayoshi K, Fukuda T, Takeda H, Hayashi K. Reevaluation of US and CT findings in adult intussusception. Nippon Igaku Hoshasen Gakkai Zasshi 1992; 25;52:14-22.
- 8. Fujii Y, Taniguchi N, Itoh K. Intussusception induced by villous tumor of the colon: sonographic findings. J Clin Ultrasound 2002; 30: 48-51
- 9 . Barussaud M, Regenet N, Briennon X, de Kerviler B, Pessaux P, Kohneh-Sharhi N, Lehur PA, Hamy A, Leborgne J, le Neel JC, Mirallie E. Clinical spectrum and surgical approach of adult intussusceptions: a multicentric study. Int J Colorectal Dis 2006; 21: 834-9
- 10 . Karahasanoglu T, Memisoglu K, Korman U, Tunckale A, Curgunlu A, Karter Y. Adult intussusception due to inverted Meckel’s diverticulum: laparoscopic approach. Surg Laparosc Endosc Percutan Tech 2003; 13: 39-41
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Bölüm | Case Report |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Mart 2013 |
| Yayımlandığı Sayı | Yıl 2013Sayı: 1 |