Intestinal Invaginations in Adults
Hasan Zafer Acar *
Department of General Surgery, Faculty of Medicine, Girne American University, Kyrenia-99428, Cyprus.
Arkin Akalin
Faculty of Health Science, Girne American University, Kyrenia, Cyprus.
*Author to whom correspondence should be addressed.
Abstract
Intestinal invaginations in adults are rare phenomenon . The most critical etiological causes are malignancies. The most common symptoms are abdominal pain, nausea, vomiting, inability to pass flatus and defecation, and distention in the abdomen due to intestinal obstruction. On physical examination, abdominal distention, decreased bowel sounds and sometimes a mass may be palpable on deep palpation.
In direct radiography, air-liquid levels can be seen. A mass can be detected in the invagination area on ultrasonography. Definitive diagnosis is usually made by computerized tomography.
Treatment of intestinal invaginations in adults is usually surgery. It can be done by laparoscopic or open surgery.
As a result, we think that when a definitive diagnosis is made in adults, intestinal invagination should be treated surgically under oncological principles since the etiological factor is mostly malignancy.
Keywords: Ileocecal, adult invagination, intussusceptions, diagnosis, treatment