Abstract. During a 5-year experience in Central Africa, the most common cause of 78 adult intestinal obstructions was primary adult cecal-colic intussusception (
n = 43; 55%). The symptom complex of colicky abdominal pain and obstipation was present in 100% of the patients with intussusception. Operative repair in 90% of patients consisted of simple reduction of the intussusceptum. There were no known recurrences. The etiology of adult cecal-colic intussusception is unknown. Patients typically present with a 3- to 4-day history of abdominal pain, obstipation, and usually a palpable mass. Treatment is surgical reduction. Right colectomy is reserved for intestinal gangrene. We treated 43 cases during a 5-year period with only one death.
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VanderKolk , W., Snyder , C. & Figg , D. Cecal-Colic Adult Intussusception as a Cause of Intestinal Obstruction in Central Africa. World J. Surg. 20, 341–344 (1996). https://doi.org/10.1007/s002689900055
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DOI: https://doi.org/10.1007/s002689900055