| 篇名 |
Enterocolic Intussusception in Adults |
| 作者 |
Soul-Jhy Yen, Jen-Kou Lin, Fen-Chu Shin, Tza-Chen Lin, Wei-Shoen Chen, Jeng-Kae Jiang, Hung Hsu |
| 卷期/出版年月 |
30卷1期 (1997/2) |
| 頁次 |
15-20 |
| 摘要 |
Intussusception is rare in adults. It is usually caused by an intrinsic lesion
of the intestine different from the cause of children's intussusception. Only
21 cases of enterocolic intussusception in adults have heen diagnosed at the Veterans General Hospital-Taipei in the past 20 years. Underlying pathologic processes were identified in 19 patients (90.4%) Etiology of adult enterocolic intussusception could be categorized into three groups; (1) tumor-related (66.7%); (2) miscellaneous: Meckel's diverticulum (9.5%), diverticulitis (4.8%), foreign body granuloma (4.8%), and ischemic necrosis (4.8%); and (3) idiopathic (9.5%). The tumor-related intussusceptions were caused by benign tumors in nine patients, and malignant in five. A simplified classification of enterocolic intussusception by location included: 1) enteric (52.4%); 2) ileo-cecal (14.2%); 3) ileo-colic (9.6%); 4) colocolic (23.8%) type. When an intussusception is encountered in adults, an under-lying pathologic process is usually present. Exploration and proper surgical management are necessary. |
| 關鍵詞 |
enterocolic intussusception, adults |
| 分類 |
Original Article |
