Author/Editor		Roić, Goran; Vrtar, Zvonimir; Posarić, Vesna; Borić, Igor; Cigit, Irenej
Title		Chronic nonischemic ileo-ileo-colic intussusception
Translated title		Kronično neishemično uvihanje tankega črevesa samega vase in v debelo črevo
Type		članek
Source		Radiol Oncol
Vol. and No.		Letnik 39, št. 2
Publication year		2005
Volume		str. 91-4
Language		eng
Abstract		Background. Chronic intussusception is a prolapse of a portion of the bowel into the lumen of an immediately adjacent segment of the bowel; it lasts for 14 days or more. The aim of the article is to present a rare cause of nonacute abdominal pain. Case report. We report about 14-year-old girl who presented with a one-month history of intermittent cramping lower abdominal pain and change in bowel behavior. Plain abdominal x-ray, ultrasonography and CT were performed. Laparatomy revealed an ileo-ileo-colic intusussception (70 cm long); invaginated Meckel's diverticulum was a prevailing anomaly. Conclusions. Atypical clinical presentation of chronic intussusception often results in delayed or inadequate management of such cases because of the lack of suspicion of a correct diagnosis. Preoperative diagnosis of invagination was based on ultrasonography and computed tomography (CT) which proved again as the most effective and useful preoperative diagnostic method. Surgical intervention is always needed in adults and older children because of high incidence of underlying lesions in them.
Summary		Izhodišča. Kronično uvihanje (intususcepcija) dela črevesa samega vase ali v sosednjo črevesno vijugo traja 14 ali več dni. V članku prikazujemo takšen redek primer pri bolnici z neakutno bolečino v trebuhu. Prikaz primera. Opisujemo 14-letno bolnico, ki je imela en mesec krčevite bolečine v presledkih v spodnjem delu trebuha in so bile odvisne od hranjenja. Naredili smo rentgensko slikanje trebuha, nato pa še ultrazvočno in CT preiskavo trebuha, ki sta nam omogočili diagnozo. Bolnico smo operirali. Ob laparatomiji smo ugotovili uvihanje tankega črevesa samega vase in v debelo črevo. Uvihanje je bilo dolgo 70 cm, prevladovalo je uvihanje Meckelovega divertikla. Zaključki. Neznačilna klinična slika kroničnega uvihanja črevesa večkrat onemogoča takojšnjo točno diagnozo in zato tudi zakasnelo ali neustrezno ukrepanje. Ultrazvok in CT trebuha sta se ponovno pokazali kot najučinkovitejši in najkoristnejši predoperativni preiskavi. Ker je lahko ob uvihanju črevesa prisotna tudi druga lezija, je pri odraslih in pri mladostnikih vedno potrebna operacija.
Descriptors		ILEAL DISEASES INTUSSUSCEPTION MECKEL'S DIVERTICULUM TOMOGRAPHY, X-RAY COMPUTED CHILD