Amirhom Emad, Dondapati Manasa, Horton Nisha, Pescovitz Alison R
Department of Surgery, NYC Health and Hospitals/Queens, New York, USA.
St. George's University, West Indies, Grenada.
J Surg Case Rep. 2022 Jul 16;2022(7):rjac327. doi: 10.1093/jscr/rjac327. eCollection 2022 Jul.
Intussusception is the telescoping of proximal loop of the bowel within distal loop resulting in obliteration of the lumen. Although it frequently occurs with the most common cause of intestinal obstruction in children, it is a rare phenomenon and an uncommon cause of acute intestinal obstruction in adults. Unlike pediatric intussusception, where the cause is idiopathic, adult intussusception is associated with underlying pathology as a lead point. The underlying pathology usually is malignant, but the prognosis is better when there is a benign lead point. The benign lead point intussusceptions are rare and are treated with reduction when there are no signs of ischemia. When there is ischemia or when reduction is not feasible, they are treated with surgical resection. In this report, we describe a rare case of an adult intussusception from a large colonic lipoma in a 79-year-old male, treated successfully with surgical resection.
肠套叠是一段肠管近端套入远端肠管内，导致管腔闭塞。虽然它常与儿童肠梗阻最常见的病因相关，但它是一种罕见现象，也是成人急性肠梗阻的不常见病因。与病因不明的小儿肠套叠不同，成人肠套叠与作为引导点的潜在病理状况相关。潜在病理状况通常为恶性，但存在良性引导点时预后较好。良性引导点性肠套叠罕见，无缺血迹象时采用复位治疗。出现缺血或复位不可行时，则采用手术切除治疗。在本报告中，我们描述了一例79岁男性因巨大结肠脂肪瘤导致成人肠套叠的罕见病例，经手术切除成功治疗。
