Two Cases of Adult Intussusception.

, Chae, Gyeong Rae; , Cheon, Heui Doo; , Tae, Hyong Jin; , Kim, Cheol Seung; , Lee, Kwang Min; , Ju, Myong Jin

Case Report

Journal of the Korean Society of Coloproctology 2001;17(2):103-107.

Chae, Gyeong Rae , Cheon, Heui Doo , Tae, Hyong Jin , Kim, Cheol Seung , Lee, Kwang Min , Ju, Myong Jin

¹Department of Surgery, Jeonju Hospital, Jeonju, Korea. chae@mednet.pe.kr
²Department of Pathology, Presbyterian Medical Center, Jeonju, Korea.

Abstract

Intussusception can develop at any age but about 95% of patients are children under 2 years-old. Adult intussusception is a rare condition. Unlike children, nearly all adults with intussusception have a lead point such as benign or malignant small bowel tumors, intestinal tuberculosis, or Meckel's diverticulum. First case is a 48-year-old male who was admitted with 2 days of diffuse abdominal cramping pain and no other associated gastrointestinal symptoms. Barium enema revealed ileocolic intussusception with a round cecal mass after barium reduction. An ileocecectomy was performed electively. The pathologic report was cecal cyst, which was an intraluminal structure with an epithelial lining of colonic mucosa. The second case, a 53-year-old male, was admitted with 1 week of diffuse abdominal cramping pain and watery diarrhea. Barium enema revealed ileocecal intussusception. Emergency surgery (ileocecectomy), revealed a polypoid small bowel mass. The pathologic report was lipoma. Recently, we experienced two cases of adult intussusception and report these cases with a brief review of the literature.

Key Words: Adult intussusception