Keiber L, Geissler B, Anthuber M
Universitätsklinikum Augsburg, Augsburg, Germany.
Case Rep Surg. 2025 Jun 2;2025:9950558. doi: 10.1155/cris/9950558. eCollection 2025.
Intestinal intussusception is a common condition in children, and the cause is often idiopathic. In contrast, adult intussusception is rather rare and almost always secondary due to an underlying condition such as a tumor, inflammatory disease, or a diverticulum. Hence, the treatment almost always is surgical resection of the lesion. We retrospectively analyzed a case of asymptomatic intussusception in a male adult using patient data retrieved from the hospital patient database. This includes findings from both physical and radiological and endoscopical examinations. The patient was contacted 4 weeks and 6 months postsurgery for a clinical follow-up. Until this day, there is no guideline regarding the underlying pathology. Hence, this case report wants to contribute to a field where there is only insufficient patient data. We presented a case of colocolic intussusception in an adult caused by a large intramural lipoma. After a full gastrointestinal diagnostic protocol and interdisciplinary case discussion, we decided to offer surgical resection, from which the patient recovered quickly. The benign nature of the tumor and the complete lack of symptoms despite significant tumor size make this case particularly interesting. We emphasize the need for a larger study group to create robust data that aid in creating care guidelines.
肠套叠在儿童中是一种常见病症，其病因通常为特发性。相比之下，成人肠套叠相当罕见，几乎总是继发于诸如肿瘤、炎症性疾病或憩室等潜在病症。因此，治疗几乎总是采取手术切除病变。我们利用从医院患者数据库检索到的患者数据，对一名成年男性无症状肠套叠病例进行了回顾性分析。这包括体格检查、放射学检查和内镜检查的结果。术后4周和6个月对患者进行了临床随访。直到如今，尚无关于潜在病理的指南。因此，本病例报告旨在为一个患者数据不足的领域做出贡献。我们报告了一例由巨大壁内脂肪瘤引起的成人结肠结肠套叠病例。经过全面的胃肠道诊断方案和多学科病例讨论后，我们决定进行手术切除，患者恢复很快。肿瘤的良性性质以及尽管肿瘤体积很大但完全没有症状，使得这个病例特别有趣。我们强调需要一个更大的研究组来创建有力的数据，以帮助制定护理指南。
