Three Cases of Ileocecal Intussusception in the Adult Michio Yamazaki 1 1Department of Radiology, Niigata University pp.707-713
Published Date 1970/6/25
DOI https://doi.org/10.11477/mf.1403111299
  • Abstract
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 Intussusception is defined as invagination or telescoping of one part of the intestine into adjacent portion. This is observed most commonly in young children and shows in the majority of cases no demonstrable underlying pathology which may predispose them to it. Intussusception in the adult, as is generally accepted, usually occurs secondarily to preexisting pathology of some sort-polyp, carcinoma, diverticulurn or inflammatory process such as gastroenteritis or regional ileitis.

 While a classic case of intussusception in infants and children is easy to recognize, its clinical manifestation in the adult is a little different, particularly in cases of early or minimal stage of ileocecal intussusception; it will not always produce a definite picture of intestinal obstruction and characteristic x-ray patterns.

 The authors recently encountered 3 cases of ileocecal intussusception in the adult diagnosed by barium meal examination.

 Case No.1. A 69-year-old female with epigastric pain  Case No.2. A 40-year-old female with upper abdominal pain  Case No.3. 53-year-old female with lower abdominal pain  The authors have noted a tendency toward spasm and slight dilatation in the terminal ileum. On systematic x-ray examination of the intestine, shortening of the cecum or ascending colon was detected, in which a sausagelike or mushroom-shaped filling defect was present.

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