CT features of symptomatic adult intussusception with surgical correlation: a study of six cases
Journal Title: Journal of Medical and Allied Sciences - Year 2014, Vol 4, Issue 1
Abstract
Adult Intussusception is a rare cause of bowel obstruction and is often secondary to a benign or malignant tumour. This study describes the CT features of 6 surgically managed cases of adult intussusception presenting with signs of intestinal obstruction between 2010 and 2012. All had CT scan followed by surgical resection of bowel obstruction. The clinical, imaging and surgical data of these 6 cases is analysed. Pre-operatively CT scan correctly diagnosed intussusception in all cases. Of them five had a mass lesion as lead point. One had past history of gastric surgery. The tumours were adenocarcinoma (n=2) and one each of NonHodgkin’s Lymphoma (NHL), inflammatory polyp and sub-mucosal lipoma. The patient with NHL had multiple polyps and multiple intussusceptions.Pre-operative CT scan precisely depicted the underlying cause, mechanism and anatomy of intussusceptions. A tumour is the lead point in most cases of adult intussusceptions.
Authors and Affiliations
Sujata Patnaik| Department of Radiology and Nizam’s Institute of Medical Sciences, Hyderabad-500082, Andhra Pradesh, India, N. Bheerappa| Department of Gastrointestinal Surgery, Nizam’s Institute of Medical Sciences, Hyderabad-500082, Andhra Pradesh, India, N. Muralidhar| Department of Surgical Oncology, Mahatma Gandhi Cancer Hospital, Visakhapatnam, Andhra Pradesh, India, S. Rammurti| Department of Radiology and Nizam’s Institute of Medical Sciences, Hyderabad-500082, Andhra Pradesh, India
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