Retrospective analysis of cases of intestinal invagination treated and followed-up at our clinic

• Main Authors: Bora Barut, Hüseyin Yönder, Kemal Barış Sarıcı, Fatih Özdemir, Volkan İnce
• Format: Article
• Language: English
• Published: KARE Publishing 2017-08-01
• Series: İstanbul Kuzey Klinikleri
• Subjects: invagination; acute abdomen; jejunum; ileum; ceacum.
• Online Access: https://jag.journalagent.com/z4/download_fulltext.asp?pdir=nci&un=NCI-19970

INTRODUCTION[|]The purpose of this study is to present our experience of diagnosis, treatment, clinical course and outcome in invagination.[¤]METHODS[|]Eleven patients; treated due to invagination in ours center between June 2009-July 2015, analyzed retrospectively in terms of demographic data, etiologic factors, anatomical localization of invagination, complaints to the hospital, physical examination findings, diagnostic imaging modalities, postoperative complications and hospital stay.[¤]RESULTS[|]Nine (% 81.8) of the patients were female and 2 (% 18.2) were male. Nine (% 81.8) of invagination cases occurred due to benign causes, two occurred due to malign causes. One (% 9) patient had jejuno-jejunal, 5 (% 45.5) ileo-ileal and 5 (% 45.5) had ileocecal invagination. Right hemicolectomy-ileotransversostomy was performed in 5 (% 45.5) patients, segmental small bowel resection end-to-end anastomosis was in 6 (% 54,5) patients. [¤]DISCUSSION AND CONCLUSION[|]Invagination, which is a rare cause of acute abdomen in adults, may be consisted of with variable clinical patterns due to different etiology. Abdominal pain, nausea and vomiting are the most common symptoms. The rate of accurate diagnosis is % 30-35 with Ultrasonography (USG) and 50-80 % in Computerized Tomography (CT). İn adults, the main treatment is surgery. Because of malignant pathologies are responsible for some of the invaginations, oncological principles should be strictly observed in surgical treatment. Invagination, a rare cause of acute abdomen and / or ileus in adults, is a clinical condition that must be kept in mind for differential diagnosis.[¤]