Morais Sara M, Santos Costa Cristina, Mourato Maria B, Mogne Tamiris, Santos Guilherme
General Surgery, Unidade Local de Saúde do Norte Alentejano, Portalegre, PRT.
Cureus. 2022 May 26;14(5):e25368. doi: 10.7759/cureus.25368. eCollection 2022 May.
Intussusception is a rare condition diagnosed in adults, with few cases reported as idiopathic. It is defined as the invagination of an intestinal segment into another adjacent one, due to the presence of a lead point, or in some cases, without identifiable causative lesions. The presentation is non-specific, even with careful evaluation, and most of the time, the diagnosis is made during surgery. We hereby present the case of a 73-year-old woman with idiopathic intussusception who presented in the emergency room. She was taken to the operating theatre, where intestinal resection was performed. Few cases of true idiopathic intestinal intussusception in adults are seen, and literature on this topic remains scarce. We discuss diagnostic and therapeutic options and do a brief review of the literature.
肠套叠是一种在成人中诊断出的罕见病症,很少有病例被报告为特发性。它被定义为一段肠管套入相邻的另一段肠管,原因是存在一个引导点,或者在某些情况下,没有可识别的致病病变。其表现不具有特异性,即使经过仔细评估也是如此,而且大多数情况下,诊断是在手术过程中做出的。我们在此呈现一名73岁患有特发性肠套叠的女性患者在急诊室就诊的病例。她被送往手术室,在那里进行了肠切除术。成人真正的特发性肠套叠病例很少见,关于这个主题的文献仍然很少。我们讨论了诊断和治疗选择,并对文献进行了简要回顾。