Transient small-bowel intussusceptions in adults: significance of ultrasonographic detection.
Clin Radiol
; 62(8): 792-7, 2007 Aug.
Article
em En
| MEDLINE
| ID: mdl-17604770
ABSTRACT
AIM:
To investigate the frequency, clinical significance, and outcome of small-bowel intussusceptions in adults detected using ultrasound in an outpatient setting. PATIENTS ANDMETHODS:
In two different retrospective (January 2001 to April 2003) and prospective (May 2003 to June 2005) periods, 33 small-bowel intussusceptions were found in 32 patients (13 females; mean age 38.1 years) with known or suspected intestinal disease. Patients underwent diagnostic work-up to assess any organic disease. Patients with self-limiting intussusception were submitted to clinical and ultrasonographic follow-up.RESULTS:
Of the 32 patients with small-bowel intussusception, 25 were identified in the prospective series of 4487 examinations (0.53%) and seven in the retrospective series of 5342 examinations (0.15%; p=0.002). Four patients had persistent and 28 self-limiting intussusceptions. Self-limiting intussusceptions were idiopathic in 11 patients (39%) or associated with organic diseases in 17 (Crohn's disease in 11 patients, celiac disease in three, ulcerative colitis in one patient, and previous surgery for cancer in two). Self-limiting intussusceptions were asymptomatic in 25% of patients.CONCLUSION:
Small-bowel intussusceptions in adults are not rare and are frequently self-limiting, idiopathic, or related to organic diseases, mainly Crohn's disease and coeliac disease.
Buscar no Google
Base de dados:
MEDLINE
Assunto principal:
Doenças Inflamatórias Intestinais
/
Intestino Delgado
/
Intussuscepção
Idioma:
En
Ano de publicação:
2007
Tipo de documento:
Article