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Saudi J Gastroenterol. 2010 October; 16(4): 305–306.
PMCID: PMC2995106

Idiopathic Adult Intussusception

Sir,

I read with great interest the image quiz “Unusal cause of crampy abdominal pain” by Yagnik.[1] In the answer published in July-September 2010 issue of Saudi Journal of Gastroenterology. In the answer of second question, he mentioned that intussusception in adults is almost always due to pre-existing disease. I like to state here that 8-20% of cases of intussusceptions in adults are idiopathic.[2] In a recent retrospective review of 41 patients of adult intussusceptions by Wang et al.,[3] four (9.1%) cases were idiopathic where etiologies could not be found by surgical exploration and/or pathology. These idiopathic intussusceptions in adults usually involve small intestine.

REFERENCES

1. Yagnik VD. Unusal cause of crampy abdominal pain. Saudi J Gastroenterol. 2010;16:241–2. [PMC free article] [PubMed]
2. Marinis A, Yiallourou A, Samanides L, Dafnios N, Anastasopoulos G, Vassiliou I, et al. Intussusception of the bowel in adults: A review. World J Gastroenterol. 2009;15:407–11. [PMC free article] [PubMed]
3. Wang N, Cui XY, Liu Y, Long J, Xu YH, Guo RX, et al. Adult intussusception: A retrospective review of 41 cases. World J Gastroenterol. 2009;15:3303–8. [PMC free article] [PubMed]

Articles from Saudi Journal of Gastroenterology : Official Journal of the Saudi Gastroenterology Association are provided here courtesy of Wolters Kluwer -- Medknow Publications