Selim SÖZEN, Mehmet AZİRET, Seyfi EMİR, Ayşenur GÖNEN

Intestinal intussusception due to meckel's diverticulum

İntestinal invajinasyon çocuklarda yaygın bir patoloji iken, erişkinlerde bu ender bir durumdur. İnvajinasyon, erişkin yaştaki intestinal obstrüksiyonların sadece %1- 2 sinden sorumludur. Erişkinlerde invajinasyon çocuk olgulardan etyolojik farklılıklar gösterir. Erişkin yaşlarda görülen invajinasyonların neredeyse tamamı organik lezyonlara bağlıdır. Genellikle hastalar bağırsak tıkanıklığını düşündüren belirti ve bulgularla gelirler. Erişkinde görülen invajinasyon nadir görülmesine karşın, geniş bir etyolojik açılımı ve değişken klinik tablosu nedeniyle, özellikle akut karın tablosuyla karşılaşılan her hekim için ayırıcı tanıda göz önünde bulundurulması gereken bir durumdur.Akut apendesit nedeni ile opere edilen erişkin hastada ileoçekal intussussepsiyon saptaması üzerine olgu, literatür eşliğinde gözden geçirildi.

Mekkel divertikülü nedeni ile intestinal invajinasyon

Intestinal intussusception is a common problem in the children, but in adults, it's very unusual. It's responsible for 1-2% of the intestinal obstruction in adults. Adult intussusception etiology differs from that in pediatric patients. Almost all of such cases are due to organic lesions in the adult. Patients commonly presents with nonspecific signs and symptoms similar to a bowel obstruc- tion. Although it is encountered rarely in adults, physicians should be aware of invagination and consider it in each case of acute abdomen because of the wide spectrum of the clinical settings. We report an adult patient operated on acute appendicitis that was eventually diagnosed as ileocecal intussusseption; by the review of the literature.

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