Steckler R J, Sourial A, Baskett D, Schaffner I, Didio V
Calif Med. 1968 Oct;109(4):291-4.
Three cases of intussusception in adults were observed within a period of six months in a small general hospital. All the patients were over 65 years old and all were admitted to hospital with intermittent cramping abdominal pains. None appeared to be in acute distress. In all three, body temperature, pulse rate and hemogram were within normal limits. Diagnosis was made preoperatively after barium enema studies. Bowel resection with end-to-end anastomosis was done in all three cases, in two because of gangrenous bowel. The site of intussusception was jejunojejunal in one case, ileocecal in another and colorectal in the third; and the cause in all cases was tumor, benign in two cases, malignant in one. The patients recovered uneventfully except for incisional abscess and diarrhea of seven days' duration in one. In a review of literature it was found that the clinical features in these three cases closely paralleled those of other cases of adult intussusception reported in this country.
在一家小型综合医院的六个月时间内，观察到三例成人肠套叠病例。所有患者年龄均超过65岁，均因间歇性腹部绞痛入院。无一例表现为急性窘迫。所有三例患者的体温、脉搏率和血常规均在正常范围内。术前经钡剂灌肠检查后作出诊断。三例均行肠切除端端吻合术，其中两例因肠坏疽而行手术。肠套叠部位一例为空肠-空肠型，一例为回盲型，另一例为结肠-直肠型；所有病例的病因均为肿瘤，两例为良性，一例为恶性。除一例出现切口脓肿和持续七天的腹泻外，患者均顺利康复。在文献回顾中发现，这三例的临床特征与该国报道的其他成人肠套叠病例密切相似。
