Korkmaz Ozgür, Yilmaz Hatice Gülşen, Taçyildiz Ibrahim Halil, Akgün Yilmaz
Department of General Surgery, Dicle University Faculty of Medicine, Diyarbakir, Turkey.
Ulus Travma Acil Cerrahi Derg. 2009 Mar;15(2):154-8.
Adult intussusception is an unusual entity, and its etiology differs from that in pediatric patients. The purpose of this study was to determine the causes and management of intussusception in adults.
A retrospective review of patients with a diagnosis of gastrointestinal intussusception between 1986 and 2006 was conducted. All patients under the age of 18 and cases with rectal, ostomy, or gastroenterostomy prolapse were excluded.
There were 28 cases of adult intussusception. Mean age was 38.6+/-16.7 years. A preoperative diagnosis of intussusception was made in 53.5% of the cases. There were 23 enteric, three colonic and two ileocolic intussusceptions. A lead point was identified in 25 patients (89.3%). Invagination was due to benign causes in 19 patients, malignant causes in six patients and idiopathic in three patients. Complication was seen in three (10.3%) cases.
In this series, the mean age of the patients was younger than in the literature. Since intussusception was due to small bowel pathologies, the proportion of benign/malignant lesions favored benign lesions. Although it is encountered rarely in adults, physicians should be aware of invagination and consider it in each case of acute abdomen because of the wide spectrum of the clinical settings.
成人肠套叠是一种罕见病症，其病因与儿科患者不同。本研究旨在确定成人肠套叠的病因及治疗方法。
对1986年至2006年间诊断为胃肠道肠套叠的患者进行回顾性研究。排除所有18岁以下患者以及直肠、造口或胃肠吻合口脱垂病例。
共有28例成人肠套叠患者。平均年龄为38.6±16.7岁。53.5%的病例在术前诊断为肠套叠。其中有23例小肠型、3例结肠型和2例回结肠型肠套叠。25例患者（89.3%）发现了套叠起始点。19例套叠由良性原因引起，6例由恶性原因引起，3例病因不明。3例（10.3%）出现并发症。
在本系列研究中，患者的平均年龄比文献报道的要小。由于肠套叠是由小肠病变引起的，良性/恶性病变的比例以良性病变为主。尽管成人肠套叠很少见，但由于临床情况多样，医生应意识到肠套叠的存在，并在每一例急腹症患者中加以考虑。
