PDF(Pubmed)
Abstract：
Intussusception in adults is a rare condition. Most frequently, intussusception involves the small intestine and, very rarely, the large intestine. In this report, we present the case of a 79-year-old male who was admitted with symptoms and signs of bowel obstruction due to an incarcerated incisional hernia (a tender irreducible incisional hernia associated with nausea and vomiting). His CT scan confirmed intussusception in his incisional hernia, showing the target sign. An emergency laparotomy, small bowel resection, and anastomosis were done. The histopathology report revealed the cause of intussusception to be a polypoid small bowel B cell lymphoma. It is necessary to excise the affected bowel segment in order to treat adult intussusception because it is commonly associated with malignant organic lesions. Computed tomography is the most sensitive imaging modality for intussusception; thus, we must consider a low threshold for a scan for patients presenting with abdominal pain.
摘要：
成人肠套叠是一种罕见的疾病。大多数情况下,肠套叠累及小肠，很少,大肠。在这份报告中,我们介绍了一例79岁的男性,他因嵌顿的切口疝(与恶心和呕吐相关的触痛的不可还原的切口疝)而出现肠梗阻的症状和体征.他的CT扫描证实他的切口疝有肠套叠，显示目标标志。紧急剖腹手术,小肠切除术,并进行了吻合。组织病理学报告显示肠套叠的原因是息肉样小肠B细胞淋巴瘤。为了治疗成人肠套叠，有必要切除受影响的肠段，因为它通常与恶性器质性病变有关。计算机断层扫描是肠套叠最敏感的成像方式；因此，对于出现腹痛的患者，我们必须考虑低扫描阈值。
