Jiménez Rosales Rita, Rodríguez-Sicilia María José, Redondo-Cerezo Eduardo
Gastroenterología, Hospital Universitario Virgen de Las Nieves, España.
Gastroenterología, Hospital Universitario Virgen de Las Nieves.
Rev Esp Enferm Dig. 2020 Dec;112(12):961. doi: 10.17235/reed.2020.7064/2020.
Intestinal intussusception is a condition usually observed in pediatric patients and is rare in adults. It has been described as idiopathic or secondary to several etiologies. Intussusception occurring in the large bowel is more likely to have a malignant etiology. Abdominal computed tomography is the normal diagnostic modality. Colonoscopy may be helpful to distinguish benign from malignant lesions, prior to deciding an appropriate management. An endoscopy approach can be attempted in patients in whom a benign mass is suspected. However, surgery remains the mainstay in adult intussusception, especially when a malignant etiology cannot be ruled out. We present a rare case of colo-colonic intestinal intussusception in an adult diagnosed by outpatient colonoscopy, which is an uncommon way to discover this entity.
肠套叠是一种通常见于儿科患者的病症，在成人中罕见。它被描述为特发性或继发于多种病因。发生在大肠的肠套叠更有可能有恶性病因。腹部计算机断层扫描是常规诊断方式。在决定合适的治疗方法之前，结肠镜检查可能有助于区分良性和恶性病变。对于怀疑有良性肿块的患者，可以尝试采用内镜检查方法。然而，手术仍然是成人肠套叠的主要治疗手段，尤其是在不能排除恶性病因的情况下。我们报告一例通过门诊结肠镜检查诊断出的成人结肠-结肠型肠套叠罕见病例，这是发现该病症的一种不常见方式。
