Abstract

AGUIRRE, Fernando et al. Intussusception as cause of intestinal obstruction in the adult: a challenge for surgeons. rev. colomb. cir. [online]. 2019, vol.34, n.1, pp.79-86. ISSN 2011-7582.  https://doi.org/10.30944/20117582.102.

Intestinal intussusception in adults is a rare finding, with non specific symptoms and is responsible for 5% of intestinal obstructions. Pre-operative diagnosis remains a challenge for surgeons and the optimal treatment is still in debate.

We present two cases of intestinal intussusception caused by different etiologies; the first is a colon-colonic intussusception caused by an adenocarcinoma, and the second is an ileo-colonic intussusception caused by a gastrointestinal stromal tumor (GIST). Both cases were diagnostic pre-operatively by abdominal CT. Oncologic surgical resection was performed in both cases. Histopathology report confirmed neoplastic tissues. We describe the diagnosis and treatment of intestinal intussusception as a cause of intestinal obstruction in the adult population.

Keywords : intussusception; intestinal obstruction; adenocarcinoma; gastrointestinal stromal tumors; diagnosis, differential; computed tomography.

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