RESUMO
Bowel intussusception is rare in adults but common in children. Almost 90% of adult intussusceptions are secondary to a pathologic condition and the clinical picture can be very aspecific and challenging. In this review we discuss the symptoms, location, etiology, characteristics, diagnostic methods and treatment strategies of this rare and enigmatic clinical entity in adults. We have to highlight the high index of suspicion that is necessary for the operating surgeon, when dealing with acute, subacute or chronic abdominal pain in adults, because any misinterpretation may result in unfavorable outcomes.
Assuntos
Doenças do Colo/diagnóstico , Duodenopatias/diagnóstico , Doenças do Íleo/diagnóstico , Intussuscepção/diagnóstico , Doenças do Jejuno/diagnóstico , Adulto , Doenças do Colo/complicações , Doenças do Colo/cirurgia , Diagnóstico Diferencial , Duodenopatias/complicações , Duodenopatias/cirurgia , Humanos , Doenças do Íleo/complicações , Doenças do Íleo/cirurgia , Intussuscepção/etiologia , Intussuscepção/cirurgia , Doenças do Jejuno/complicações , Doenças do Jejuno/cirurgia , Valor Preditivo dos Testes , Sensibilidade e Especificidade , Tomografia Computadorizada por Raios X , Resultado do TratamentoRESUMO
INTRODUCTION: Volvulus of transverse colon is rare when compared to cecal and sigmoid volvulus. Cases involving simultaneous volvulus of the transverse colon and another colonic segment are extremely rare. CASE REPORT: We report a rare case of simultaneous sigmoid and transverse colon volvulus in a 82-year-old Caucasian female. CONCLUSION: Volvulus is a well recognized cause of large bowel obstruction. The development of transverse and sigmoid volvulus in the same patient is extremely rare. Though rare this possibility must always be considered in the differential diagnosis, when dealing with recurrent intermittent abdominal pain or acute intestinal obstruction.
