Department of Surgery, Grant Medical College and Sir JJ Group of Hospitals, Mumbai, 400008, India.
Updates Surg. 2012 Dec;64(4):319-22. doi: 10.1007/s13304-011-0104-5. Epub 2011 Aug 18.
Intussusception is common in children but rare in adults. Caeco-colic intussusception is an uncommon cause of intestinal obstruction in adults. Very limited information is available about the role of colonoscopy in diagnosis of intussusception in the literature. We present a case of caeco-colic intussusception in a 50-year-old male who presented with the complaints of pain in abdomen and a lump in the right hypochondrium. Colonoscopy and contrast studies revealed the diagnosis of intussusception. Abdominal computed tomography (CT scan) is considered as the most sensitive investigation to diagnose intussusception at present, whereas colonoscopy is sparingly used to diagnose intussusception. In this patient, colonoscopy not only established the diagnosis and malignant nature of the lead point, but also guided the definitive extent of surgical resection. CT scan offers a presumptive diagnosis as compared to the definitive diagnosis of intussusception by colonoscopy. In adult intussusception, colonoscopy can be considered as a complimentary investigation to other diagnostic modalities. Hence regular use of colonoscopy in adult intussusception should be encouraged where presentation is either subacute or chronic.
肠套叠在儿童中很常见，但在成人中很少见。盲肠-结肠型肠套叠是成人肠梗阻的一种不常见原因。关于结肠镜检查在肠套叠诊断中的作用，文献中仅有非常有限的信息。我们报告了 1 例 50 岁男性的盲肠-结肠型肠套叠病例，该患者表现为腹痛和右季肋部肿块。结肠镜检查和对比研究显示了肠套叠的诊断。目前，腹部计算机断层扫描（CT 扫描）被认为是诊断肠套叠最敏感的检查方法，而结肠镜检查则很少用于诊断肠套叠。在该患者中，结肠镜检查不仅确立了诊断和病变的恶性程度，还指导了明确的手术切除范围。与结肠镜检查对肠套叠的明确诊断相比，CT 扫描仅提供了一个推测性诊断。在成人肠套叠中，结肠镜检查可以作为其他诊断方法的补充检查。因此，在表现为亚急性或慢性的情况下，应鼓励在成人肠套叠中常规使用结肠镜检查。
