Spontaneous ileo-ileal and ileo-caecal intussusception in adults: Report of two cases.

Yıl 2014, , 43 - 48, 01.03.2014

Erdal Uysal Mehmet Dokur Ahmet Orhan Gürer Hasan Bakır Mehmet Ali İkidağ

https://doi.org/10.5505/sakaryamj.2014.63634

Öz

Having defined as a proximal intestinal segment interpenetrating an adjacent distal intestinal segment lumen in the gastrointestinal system intussusception or invagination, is the most common cause for acute abdomen in children following acute appendicitis.Contrary to childhood period intestinal intussusceptions is rarely encountered among adults. Etiology, clinical presentation and treatment methods are different in adults as well. In etiology of an adult intussusception mostly there are malignant, non-malignant and iatrogenik reasons. İn rare cases the etiology is idiopathic or spontaneous. Spontaneous intussusceptions are mostly seen in small bowel. Diagnose of an adult intussusception can be overlooked or delayed when it is rarely encountered and atypically presented. Treatment is surgical in most cases. In this article, two adult cases of spontaneous ileal and ileo-caecal intussusception was analysed and presented under current literature considering clinical outlook, diagnose and treatment

Anahtar Kelimeler

spontaneous intussusception, adult, ileum, caecum

Erişkinde spontan ileo-ileal ve ileo-çekal intussussepsiyon: İki olgu sunumu.

Öz

Proksimal barsak segmentinin komşu distal barsak segmenti içerisine penetrasyonu olarak tanımlanan gastrointestinal intussussepsiyonu veya invajinasyonu,çocuklarda akut apandisitten sonra akut batının en sık nedenidir.Çocukluk döneminin aksine erişkinlerde barsak intussussepsiyonları daha az görülür.Erişkin intussussepsiyonlarının etyoloji,klinik prezentasyon ve tedavi yöntemleri de farklıdır. Erişkinlerin barsak intussussepsiyonlarının etyolojisinde çoğunlukla malignant, non-malignant ve iyatrojenik bir neden vardır. Çok az olguda intussussepsiyonun etyolojisi idyopatik ya da spontandır. Spontan olarak gelişen intussussepsiyonlar çoğunlukla ince barsakta görülür. Erişkin intussussepsiyonun tanısı nadir karşılaşılması ve atipikprezentasyonlu olması nedenleriyle atlanabilir ya da geç konulabilir. Olguların hemen hepsinde tedavi cerrahidir. Bu yazıda spontan ileal ve ileo-çekal intussussepsiyonlu iki erişkin olgu klinik görünüm,tanı ve tedavi açısından güncel literatür ışığında gözden geçirilerek sunuldu.

Anahtar Kelimeler

spontan intussussepsiyon, erişkin, ileum, çekum

Kaynakça

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