Original Scientific ArticlesIntussusception in adults: institutional review1
Section snippets
Methods
A retrospective review of the records of The Mount Sinai Medical Center from 1986 to 1997 identified 27 patients, 16 years of age or older, with diagnosis of intussusception. Details concerning the presentation, diagnosis, management, and pathology were analyzed. Office records of the primary surgeon were examined if additional information was needed. Followup was limited to the immediate postoperative period. Patients with appendiceal, stomal, and gastroenterostomy intussusceptions were not
Demographics
Of the 27 cases of intussusception identified at The Mount Sinai Medical Center over the past 11 years, there were 13 males and 14 females. The median age at the time of diagnosis was 52 years with a range of 16 to 90 years. Pertinent prior medical history included 7 patients with known prior malignancies, 2 patients with HIV, 1 patient with systemic lupus, and 1 patient with Peutz-Jeghers syndrome.
Clinical presentation
The most common presenting complaint was pain and it was seen in over 80% of the patients.
Discussion
Intussusception is an uncommon cause of intestinal obstruction in adults, but in the pediatric population it is much more common.1, 2, 3, 4, 5 There are significant differences between the two patient populations and therefore discussion should be limited to one group or the other. In this study, we reviewed hospital records from a tertiary hospital center to determine the number of cases of adult intussusception (16 years of age or older) over an 11-year period from 1986 to 1997.
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No competing interests declared.