A clinico-pathologic study of intussusception in Nepalese adults: a prospective study

A clinico-pathologic study of intussusception in Nepalese adults

  • Vikal Chandra Shakya HOD (Department of Surgery) Civil Service Hospital, Minbhawan, Kathmandu Associate Professor (General Surgery) National Academy of Medical Sciences (NAMS)
  • Bikram Byanjankar Department of Surgery, Civil Service Hospital, Minbhawan, Kathmandu, Nepal
  • Rabin Pandit Department of Surgery, Civil Service Hospital, Minbhawan, Kathmandu, Nepal
  • Anir Ram Moh Shrestha Department of Surgery, Civil Service Hospital, Minbhawan, Kathmandu, Nepal
  • Saurav Karki Department of Surgery, Nepalese Army Institute of Health Sciences, Bhandarkhal, Sanobharyang, Kathmandu, Nepal
  • Anang Pangeni Department of Surgery, William Harvey Hospital East Kent Hospitals University Foundation Trust Ashford, Kent TN24 0LZ, UK

Abstract

OBJECTIVE: Intussusception is clinically rare in adults and is usually secondary to a definable pathology. This study was designed to review adult intussusception, including presentation, diagnosis, and their pathology. METHODS: A prospective study of 18 cases of intussusception in individuals older than 18 years of age from 2010 to 2018 was done. RESULTS: There were 18 cases of adult intussusception. Mean age was 49.2 years (range 19-84 years). Abdominal pain and vomiting were the commonest symptoms. Mean duration of presentation was 51 days. (range 20 hours to 10 months). Three patients (16.66%) presented with generalized peritonitis. Two patients settled spontaneously. There were 7 ileocolic, 1 ileoileocolic, 5 ileoileal and 3 colocolic intussusceptions on laparotomy. 10 out of 18 patients (62.5%) had leading lesions. Benign pathologies were seen in 5 cases (50%) and malignant in 5 patients (50%). 5 out of 10 intussusceptions involving the large bowel (50%) were due to malignant lesion. CONCLUSIONS: Adult intussusception is a rare entity. Our review supports that small-bowel intussusceptions should be reduced before resection to minimize physiological alterations and large-bowel intussusception should generally be resected without reduction because of usual malignant pathology.

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Published
2020-12-03
How to Cite
SHAKYA, Vikal Chandra et al. A clinico-pathologic study of intussusception in Nepalese adults: a prospective study. J Soc Surg Nep, [S.l.], v. 23, n. 1, p. 9-13, dec. 2020. ISSN 2392-4772. Available at: <http://jssn.org.np/index.php?journal=jssn&page=article&op=view&path%5B%5D=377>. Date accessed: 19 jan. 2021.