Transient small-bowel intussusceptions in adults: significance of ultrasonographic detection.

Abstract:

AIM:To investigate the frequency, clinical significance, and outcome of small-bowel intussusceptions in adults detected using ultrasound in an outpatient setting. PATIENTS AND METHODS: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.

journal_name

Clin Radiol

journal_title

Clinical radiology

authors

Maconi G,Radice E,Greco S,Bezzio C,Bianchi Porro G

doi

10.1016/j.crad.2007.02.009

subject

Has Abstract

pub_date

2007-08-01 00:00:00

pages

792-7

issue

8

eissn

0009-9260

issn

1365-229X

pii

S0009-9260(07)00113-4

journal_volume

62

pub_type

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