Yetişkinde Barsak İnvajinasyonunun Karakteristik Bulguları Nelerdir?

Year 2014, Volume: 5 Issue: 9, 235 - 237, 01.09.2014

Mücahit Emet Fatma Tortum Adem Karaman Abdullah Kısaoglu Murat Sarıtemur

Abstract

Introduction: Intussusception is malengagement of the distal bowel segment into the proximal gastrointestinal tract. It is rare in adults.   Case Report: Here, we reported a 41-year-old woman with complaints of writhing abdominal pain and vomiting whose physical examination revealed varying findings. Abdominal tomography with venous contrast showed a target lesion and sausage-shaped mass that were characteristic for invagination. Exploration showed invagination of a part of the terminal ileum, 10 cm in length, into the ascending colon. Operation was ended with resection and anastomosis. Histopathologic examination of the specimen showed no lesion that would lead to invagination.   Conclusion: In patients with intermittent abdominal pain and vomiting, if abdominal examination shows that the tenderness changes place and if the pain does not respond to hydration and medication, the physician should suspect invagination. It is important to recognize the target lesion and sausage-shaped mass that are pathognomonic in the abdominal tomography.

Keywords

invajinasyon, intussepsiyon, radyoloji, yetişkin

What are the Characteristic Features of Gut Invagination in Adults?

Abstract

Introduction: Intussusception is malengagement of the distal bowel segment into the proximal gastrointestinal tract. It is rare in adults.Case Report: Here, we reported a 41-year-old woman with complaints of writhing abdominal pain and vomiting whose physical examination revealed varying findings. Abdominal tomography with venous contrast showed a target lesion and sausage-shaped mass that were characteristic for invagination. Exploration showed invagination of a part of the terminal ileum, 10 cm in length, into the ascending colon. Operation was ended with resection and anastomosis. Histopathologic examination of the specimen showed no lesion that would lead to invagination. Conclusion: In patients with intermittent abdominal pain and vomiting, if abdominal examination shows that the tenderness changes place and if the pain does not respond to hydration and medication, the physician should suspect invagination. It is important to recognize the target lesion and sausage-shaped mass that are pathognomonic in the abdominal tomography

Keywords

Invagination, intussusception, radiology, adult

References

• Marinis A, Yiallourou A, Samanides L, Dafnios N, Anastasopoulos G, Vassiliou I, et al. Intussusception of the bowel in adults: a review. World J Gastroenterol 2009; 15: 407-11. [CrossRef]
• Cera SM. Intestinal intussusception. Clin Colon Rectal Surg 2008; 21: 106-13. [CrossRef]
• Zubaidi A, Al-Saif F, Silverman R. Adult intussusception: a retrospective review. Dis Colon Rectum 2006; 49: 1546-51. [CrossRef]
• Gayer G, Zissin R, Apter S, Papa M, Hertz M. Pictorial review: adult intussusception-a CT diagnosis. Br J Radiol 2002; 75: 185-90. [CrossRef]
• Çalık A, Topaloğlu S. İnce Barsak Tıkanıklıkları, Erişkinde İnvajinasyon. In Ertekin C, Güloğlu R, Taviloğlu K, eds. Acil Cerrahi. Nobel Tıp Kitabevleri; 2009. p.365-67.
• Mullan CP, Siewert B, Eisenberg RL. Small bowel obstruction. Am J Roentgenol 2012; 198: 105-17. [CrossRef]
• Martín-Lorenzo JG, Torralba-Martinez A, Lirón-Ruiz R, Flores-Pastor B, Miguel-Perelló J, Aguilar-Jimenez J, et al. Intestinal invagination in adults: preoperative diagnosis and management. Int J Colorectal Dis 2004; 19: 68-72. [CrossRef]
• Byrne AT, Geoghegan T, Govender P, Lyburn ID, Colhoun E, Torreggiani WC. The imaging of intussusception. Clin Radiol 2005; 60: 39-47. [CrossRef]