Mbah N (FRCS Ed., FWACS; FACS)Department of Surgery,Chukwuemeka Odumegwu Ojukwu University Teaching Hospital (COOUTH),Awka, Anambra State, Nigeria.Correspondence to: Dr. Mbah N.E-mail: email@example.comCitation: Mbah N. Adult intussusception: Current perspective. Orient Journal of Surgical Sciences. January - December 2021: Page 1 - 13
ABSTRACTIntussusception, the invagination of a segment of the bowel into the
lumen of a contiguous segment, is an uncommon cause of abdominal pain
and bowel obstruction in adults. Due to the often incomplete nature of
the obstruction, presentation in the adult patient may be delayed and
the diagnosis is either missed or made at exploratory laparotomy in
regions where sophisticated imaging facilities such as computed
tomography (CT) scan are not readily affordable or available. A high
index of suspicion is required for theearlier detection of this condition in the adult patient for prompt and successful surgical intervention.Key words: Adult Intussusception, Abdominal Pain, Incomplete Obstruction, Index of Suspicion, Late Diagnosis.
derived from Latin words intus (within) + sus-cipio (to take up)
is the clinical condition involving the invagination of a bowel segment
(Intussusceptum) into the lumen of the immediate adjoining part
direction of the slide is commonly distal (antegrade) but may be retrograde in
rare cases. Intussusception or “introsusception” as it was previously
called, was first described by Paul Barbette of Amsterdam in 1674.2 Cornelius Velse recorded the first successful
laparotomy for adult intussusception.3 In 1789, John Hunter
described the post mortem pathology.4
The aetiology, clinical features and
management of paediatric intussusception are quite different from the adult
disease (table 1)
intussusception (AI) is an infrequent cause of abdominal pain and intestinal
obstruction. The clinical symptoms may be acute, sub acute or chronic.5,6
Most cases present with incomplete bowel obstruction.
childhood intussusception which is classically characterized by the triad of
colicky abdominal pain, presence of a palpable abdominal lump and the passage
currant jelly stool, the abdominal pain of the adult disease is often nonspecific
Therefore, the diagnosis can be
challenging as the intermittent abdominal pain which is the main symptom often
settles comparatively quickly. Clinical examination and routine investigations
are often negative and these patients will probably be labeled as having peptic
ulcer disease or any of the other numerous differentials.8 These
factors account for the often missed diagnosis which characterize AI.
Volume of the Orient Journal of Surgical Sciences is out with a bang. An
Orthopaedic article is featured along with original articles from the fields of
Ophthalmology and General surgery.
consistent with the policy of the Journal, each published article provides
unique valuable clinical and scientific information on the respective subjects
issues of the Orient Journal of Surgical Sciences would be featuring quality
articles from the wider fields of Anaesthesia, Pathology, Otorhinolaryngology
(ENT), Radiology, Plastic surgery, Neurosurgery and Gynaecology.
department of surgery of the Chukwuemeka Odumegwu Ojukwu University Teaching
Hospital (COOUTH), Awka, Nigeria is pleased to publish this 2nd edition of the
Orient Journal of Surgical Sciences.
aspiration of the editorial team is to publish quality peer reviewed articles
that meet international standards at a minimum frequency of once per year in
the select specialties and this volume has met that commitment. This volume
contains articles of great importance particularly to the Ophthal-mologists and
The Maiden Edition of the Orient Journal of Surgical
Sciences Was Published on Wednesday 25th March 2020.
Hard Copies are now available at ₦1,000
per copy (or its USD $ equivalent) payable at site of collection at the Department
of Surgery Office, Chukwuemeka Odumegwu Ojukwu University Teaching Hospital
(COOUTH) Awka, Nigeria or into the Journal bank account with the
Bank - Zenith bank; Account
Number: 1016472847; Account Name: COOUTH - The Orient Journal of
Editorial Board is also calling on all prospective Authors for the submission
of new articles towards the 2nd issue scheduled for publication in September