Department of Surgery, D.Y.Patil University School of Medicine. Navi Mumbai, India.
Med Arch. 2020 Oct;74(5):393-395. doi: 10.5455/medarh.2020.74.393-395.
Colocolic intussusception in adults is uncommon and poses both a diagnostic and therapeutic dilemma. The association of an underlying malignancy necessitates a preoperative confirmation of diagnosis. The presenting features are variable. Hence contrast enhanced computed tomography of the abdomen is pivotal for diagnosis. An en bloc resection of the specimen in accordance with standard oncological principles is the mainstay of treatment.
A case of colocolic intussusception in an adult is presented to highlight the difficulties in preoperative diagnosis and in selecting the best surgical option for treatment.
Adult bowel intussusception is a diagnostic dilemma with preoperative diagnosis being the biggest challenge. CT scan of the abdomen is an excellent diagnostic modality with high diagnostic accuracy. Explorative laparotomy with en bloc resection is mainstay of treatment in adults.
成人结肠结肠型肠套叠并不常见，且在诊断和治疗方面都存在困境。潜在恶性肿瘤的存在需要术前确诊。其临床表现多样。因此，腹部增强 CT 对诊断具有关键作用。按照标准肿瘤学原则整块切除标本是治疗的主要方法。
报告 1 例成人结肠结肠型肠套叠，以强调术前诊断的困难以及选择最佳手术治疗方案的困难。
成人肠套叠是一种诊断难题，术前诊断是最大的挑战。腹部 CT 扫描是一种具有高诊断准确性的极好的诊断方法。成人的治疗主要方法是剖腹探查和整块切除。
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