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KMID : 0352419920110020257
Keimyung Medical Journal
1992 Volume.11 No. 2 p.257 ~ p.263
A Clinical Analysis of Intussusception in the Adult



Abstract
From January, 1984 to December, 1991, 14 cases of intussusception in adults at department of surgery, keimyung university, school of medicine, were reviewed.
Intussusceeption in the adult is an uncommon condition.
The age indicence is variable but it occured most frequently after 6th decade of life.
The sex incidence was 2.5:1 in favor of male.
From the onset of symptoms to operation was over 1 week in 71.4%, indicating a more chronic course in adult than child.
The most common signs and symptoms were intermittent abdominal pain (92.3%), bloody stool (35.7%), diarrhea (28.6%), palpable mass (28.6%) and abdominal tenderness (28.6%).
The cause of intussusception was unknown in 7.1% and predisponsing factors were found in 92.9%, tumor in 57.2%, inflammatory disease in 21.4% and postoperative adhesion in 14.3%.
Ileocolic intussusception was the most common type (42.9%), followed by jejunojejunal (21.4%) ileoileal (14.3%), ileocecal (14.3%) and colonic type (7.1%).
The types of operation were manual reduction of intussusception in 5 cases (35.7%) and resection of bowel in 9 cases (64.3%).
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