Abstract:
:Intussusception is a rare clinical finding in adults. Most cases occur in the distal small bowel or large intestine. We report the case of a 65-year-old woman with known non-small-cell lung cancer (NSCLC) who presented with acute abdomen and ileus-like symptoms. Abdominal computed tomography suggested ileocecal intussusception. The patient underwent right hemicolectomy and the histopathological workup showed ileal NSCLC metastasis as the lead lesion of intussusception. The classic triad of cramping abdominal pain, bloody diarrhea and a palpable tender mass, which is present in the majority of pediatric patients, is only infrequently observed in adults. Thus, symptoms are often nonspecific and the clinical presentation may be inconspicuous. Because of the large proportion of structural anomalies, adult intussusception requires definitive treatment, of which surgical resection is the treatment of choice. In patients with colocolonic or ileocolonic intussusception, malignancy should be considered and therefore en bloc resection rather than reduction is the recommended surgical technique, whereas cases of enteric intussusceptions may be reduced by limited resection of the small intestine.
journal_name
Wien Klin Wochenschrjournal_title
Wiener klinische Wochenschriftauthors
Pollheimer MJ,Eberl T,Baumgartner K,Pollheimer VS,Tschmelitsch J,Lackner H,Langner Cdoi
10.1007/s00508-009-1146-2subject
Has Abstractpub_date
2009-01-01 00:00:00pages
413-6issue
11-12eissn
0043-5325issn
1613-7671journal_volume
121pub_type
杂志文章abstract::Smartphone addiction is one of the most common non-drug addictions, accompanied by negative effects, such as depression, anxiety, self-disclosure, impaired academic performance, family life and human relationships. The aim of the present study was to assess the prevalence of a predisposition to smartphone use disorder...
journal_title:Wiener klinische Wochenschrift
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abstract::The corneal endothelium consists of a single layer of flat, hexagonal cells covering the posterior surface of the cornea. It has prominent functions in the maintenance of corneal integrity and transparency. These cells produce Descemet's membrane, dehydrate the corneal stroma, have a barrier function against the aqueo...
journal_title:Wiener klinische Wochenschrift
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abstract::A series of 90 gastroplasty operations based on Eckhout's vertical banded procedure are described. The average weight loss at follow up 2 years postoperatively was 66%. There were no operative or late deaths nor any serious complications. The constricting Gore-Tex band had to be lengthened in 3 cases of outlet stenosi...
journal_title:Wiener klinische Wochenschrift
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journal_title:Wiener klinische Wochenschrift
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journal_title:Wiener klinische Wochenschrift
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journal_title:Wiener klinische Wochenschrift
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