Intussusception in Patients with Crohn's Disease: Is Resection Always Mandated?

Scott G Blair, Celia Y Quang, Jon D Simmons, Leander M Grimm Jr, Paul F Rider and William O Richards

Department of Surgery, University of South Alabama Medical Center, USA
Department of Colorectal Surgery, University of South Alabama Medical Center, USA

^*Correspondance to: Scott G Blair 

 PDF  Full Text DOI: 10.25107/2474-1647.1417

Abstract

Objective: The objective is to present an interesting case of intussusception in an adult with Crohn’s Disease and do a subsequent review of the literature for the management of this difficult patient population.Background: Intussusception is rare in the adult population and unlike in children, it is usually associated with a malignant lesion. For these reasons, adult intussusception has historically mandated operative exploration. However, adult patients with Crohn’s disease (CD) are an exception as they often have a non-malignant etiology of intussusception. Due to the complexity of patients with CD and the high likelihood of requiring further bowel resections that may eventually cause short bowel syndrome, preventing any unnecessary bowel resection should be a high priority in this patient population.Conclusion: Intussusception occurs rarely in adults with CD. While the patient will need evaluation for an underlying carcinoma, patients with CD without an obvious lead point can be treated with reduction of the intussusception without resection.

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Cite the article

Blair SG, Quang CY, Simmons JD, Grimm Jr LM, Rider PF, Richards WO. Intussusception in Patients with Crohn's Disease: Is Resection Always Mandated? Clin Surg. 2017; 2: 1417.