The young man with intestinal invagination
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Keywords
Intussusception, Young Adult, Intestinal Obstruction, Prolapse
Abstract
Background: an intestinal invagination is produced when a portion of the digestive tract is introduced inside an immediately adjacent segment. The ileocolic variety predominates in adults. It is associated with benign or malignant gastrointestinal tumors. Treatment in adult patients is the surgical resection.
Clinical case: a 24 year-old male, with 48 hours with intestinal obstruction, a 10 cm tumor in the right hemiabdomen, painful to palpation was identified. Increase white cells were the only abnormality in the laboratory tests. Simple abdominal X rays demonstrated intestinal occlusion and computed axial tomography showed intestinal invagination. Surgery finding was ileocolic invagination in the right hemi abdomen. The histopathological report was ileocolic invagination with necrosis.
Conclusions: intestinal invagination in adults is uncommon. When it occurs, it is related up to 80 % with gastrointestinal tumors, less frequent with Meckel’s diverticulum. Treatment must be surgical resection of the affected segment.
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