Marsden N, Saklani A P, Davies M, Chandrasekaran T V, Khot U, Beynon J
Singleton Hospital, Swansea, UK.
Ann R Coll Surg Engl. 2009 Nov;91(8):W7-8. doi: 10.1308/147870809X450601.
Intussusception in adults is a rare cause of abdominal pain. Unlike its paediatric counterpart, intussusception in adults is associated with obvious pathology. We describe a case of ileocolic intussusception extending to the splenic flexure. We were able to reduce the intussusception partially and pedicle was stapled carefully. The specimen was delivered through a small incision and right hemicolectomy was performed adhering to oncological principles. We recommend laparoscopic-assisted surgery is considered for adult intussusceptions.
成人肠套叠是腹痛的罕见原因。与儿童肠套叠不同，成人肠套叠与明显的病理状况相关。我们描述了一例回结肠套叠延伸至脾曲的病例。我们成功部分复位了肠套叠，并仔细缝合了蒂部。标本通过小切口取出，并按照肿瘤学原则进行了右半结肠切除术。我们建议对于成人肠套叠考虑采用腹腔镜辅助手术。
