Franco-Herrera R, Burneo-Esteves M, Martín-Gil J, Fabregues-Olea A, Pérez-Díaz D, Turégano-Fuentes F
Servicio de Cirugía General y del Aparato Digestivo II, Hospital General Universitario Gregorio Marañón, Madrid, España.
Rev Gastroenterol Mex. 2012 Jul-Sep;77(3):153-6. doi: 10.1016/j.rgmx.2012.04.007. Epub 2012 Aug 24.
Intussusception is an infrequent cause of mechanical intestinal obstruction in the adult. We present herein two clinical cases of intussusception with different etiologies. In the first case, the underlying cause was a lipoma, and in the second, it was metastasis from melanoma. In both cases the intussusception was identified through computed tomography and treatment was intestinal resection. Pathologic anatomy provided the definitive diagnosis. Etiology is diverse and it is more common for obstruction to be due to organic lesions that are malignant at the level of the colon and benign at the level of the small bowel. Currently there are more preoperative diagnoses thanks to the advances made in imaging study techniques. Intestinal resection continues to be the treatment of choice in the majority of cases, because of the high percentage of malignant lesions as the underlying cause.
肠套叠是成人机械性肠梗阻的罕见病因。我们在此介绍两例病因不同的肠套叠临床病例。第一例的潜在病因是脂肪瘤，第二例是黑色素瘤转移。两例均通过计算机断层扫描确诊肠套叠，治疗方式均为肠切除。病理解剖提供了明确诊断。病因多样，梗阻更常见于结肠水平为恶性、小肠水平为良性的器质性病变。由于影像研究技术的进步，目前术前诊断更多。由于潜在病因中恶性病变比例高，肠切除仍是大多数病例的首选治疗方法。
