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academies
International Surgery and Ortho Conference
October 25-26, 2017 | Toronto, Canada
Case Rep Surg Invasive Proced 2017 | Volume 1 Issue 3
Adult intussusception: An eight-year institutional review
Uduma Felix U, Udo Isaac A Abudu
and
Emmanuel K
University of Uyo Teaching Hospital, Nigeria
Background:
Intussusception is a rare cause of intestinal
obstruction in adults. Its diagnosis could be elusive based
solely on clinical features because of protean presentations.
Supplementary imaging allows for pre-operative diagnosis,
early institution of definitive management, and a better clinical
course.
Patients & Methods:
Records of adults managed for intestinal
obstruction by laparotomy in a surgical unit of a tertiary health
facility were retrospectively examined. The subgroup having
an intra-operative diagnosis of intussusception was extracted
and analyzed. Data obtained included age, sex, and primary
symptoms at presentation. Presence of intestinal perforation,
the histology of the lead point of resected tissues and the final
disposition of the patients were documented.
Results:
Four hundred and three patients underwent surgical
management of intestinal obstruction. Eight patients (2%) had
an intra-operative diagnosis of intussusceptions at laparotomy,
fourmales and four females. (male:female ratio1:1). Abdominal
pain was the presentation in 7(87.5%) and anal protrusion in
1(12.5%). Four patients (50%) had bowel perforation with
peritonitis. Seven of the resected intestine had lead points
which were benign. Two patients (25%) died from sepsis.
Resection and anastomosis were done for all the patients.
Conclusion:
Intussusception inadults is uncommonbut carries a
highmorbidity andmortality which can be reduced with a good
clinical assessment, appropriate imaging and early laparotomy.
Speaker Biography
Uduma Felix U is a Senior Lecturer in the Department of Radiology, Faculty of Clinical
Sciences, College of Health Sciences at University of Uyo, Uyo, Nigeria. He is Head of
Department/Consultant Radiologist in Department of Radiology at University of Uyo
Teaching Hospital, Uyo, Nigeria. He is also a Member of Medical Advisory Board at
University of Uyo Teaching Hospital, Uyo, Nigeria and Associate Editor of many journals
including
West African Journal of Radiology
and Financial Secretary of Association of
Radiologists’ of West Africa (ARAWA). He was Head of Department of Radiology in
Faculty of Clinical Sciences, College of Health Sciences at University of Uyo, Nigeria
and Consultant Radiologist at Abia State University Teaching Hospital, Aba, Nigeria. He
was Adjunct Lecturer in Madonna University, Elele, Nigeria & Consultant Radiologist,
Polyclinic Bonanjo, Douala, Cameroon. He has published more than 30 articles.
e:
felixuduma@yahoo.com