11 cases of intussusception in adults, including 9 treated by operation, are discussed. The cause of the intussusception was a malignant lesion in 7 and a benign lesion in 2 cases. In 2 patients, reposition was achieved with the aid of a barium enema. Aetiology and clinical and radiological features are discussed. In view of the high incidence of pre-existent lesions and the risk of perforation at reposition with the aid of a barium enema, surgical therapy is indicated. The pre-existent lesions found at operation and pathological anatomical examination were: malignant lymphoma (4 cases), caecal adenocarcinoma (2 cases), leiomyofibroma of the ileum (1 case), caecal endometriosis (1 case), carcinoid appendix (1 case) and Meckel's diverticulum (2 cases).
本文讨论了11例成人肠套叠病例,其中9例接受了手术治疗。肠套叠的病因在7例中为恶性病变,2例为良性病变。2例患者借助钡剂灌肠实现了复位。文中讨论了病因以及临床和放射学特征。鉴于既往病变的高发生率以及借助钡剂灌肠复位时穿孔的风险,建议采用手术治疗。手术及病理解剖检查发现的既往病变有:恶性淋巴瘤(4例)、盲肠腺癌(2例)、回肠平滑肌瘤(1例)、盲肠子宫内膜异位症(1例)、阑尾类癌(1例)和梅克尔憩室(2例)。