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. 2023 Oct 6;8(1):3–8. doi: 10.1515/iss-2023-0012

Table 1:

Literature overview: intussusception in adult patients with Crohn’s disease.

Author Symptoms Surgery prior to intussusception Time between surgery and intussusception Location of intussusception Therapy Course
Greenstein et al. [9]
 Case 1 NA Ileocecal resection, ileoascending colostomy, anterior resection with coloproctostomy, loop ileostomy 1 month Jejuno–jejunal Laparotomy, manual reduction Asymptomatic 2 years postoperatively
 Case 2 Severe, crampy left upper quadrant pain, visible peristalsis in the upper abdomen Ileocecal resection, ileoascending colostomy 6 weeks Jejuno–jejunal Laparotomy, manual reduction Asymptomatic 2 years postoperatively
Hertz et al. [10]
 Case 1 NA Ileocecal resection, ileoascending anastomosis, anterior resection of the sigmoid and proximal rectum, loop ileostomy 1 month Jejuno–jejunal Laparotomy, manual reduction Asymptomatic 5 years postoperatively
 Case 2 Severe left upper quadrant pain, visible upper abdominal peristalsis Ileocecal resection, ileoascending anastomosis 6 weeks Jejuno–jejunal Laparotomy, manual reduction Asymptomatic 3 years postoperatively
 Case 3/1 (same patient) Left abdominal mass, vomiting Resection of distal ileum, ileoascending anastomosis Same hospital stay Jejuno–jejunal Conservative (patient became clinically well without treatment)
 Case 3/2 (same patient) 1 month Jejuno–jejunal Resection of necrotic jejunum due to intestinal perforation Asymptomatic 1 year postoperatively
Knowles et al. [11]
 Case 1 Intermittent abdominal pain for 2 months 3 laparotomies with bowel resections NA Small bowel Laparotomy with resection of distal ileum NA
 Case 2 Severe, crampy abdominal pain for 4 days, nausea Resection of ileum after perforation Several years Ileum Laparotomy with small bowel resection NA
Catalano et al. [21] Abdominal pain for 3 months, palpable abdominal mass None - Colo–colic None Enema 1 year later still showed chronic intussusception
Shah et al. [22] Abdominal pain, nausea, bilious vomiting None - Entero–enteric Conservative Discharged after 17 days
Atten et al. [14] Intermittent, colicky midabdominal pain, bloody diarrhea Segmental resection of left colon 8 years Colo–colic Laparotomy, right hemicolectomy with end loop ileostomy NA
Kihiczak et al. [19] Severe intermittent abdominal pain None - Ileo–colic Conservative Discharged after 8 days
Dragani et al. [17] Severe colicky lower abdominal pain, minor rectal bleeding, abdominal distension for 3 days None - Colo–colic Barium enema Asymptomatic at 6 months after discharge
Fernández et al. [20] Central abdominal pain, vomiting, and bloody stool for previous 2 days None - Distal ileum Initially conservative, laparotomy after 3 days with reduction and bowel resection Asymptomatic at 6 months follow up
Uchino et al. [12]
 Case 1 Abdominal pain, nausea, upper left quadrant abdominal distension Ileocecal resection, ileoascending colostomy 3 days Jejuno–jejunal Initially conservative; laparotomy and resection of incarcerated jejunal intussuscipiens on the 7th postoperative day Asymptomatic 1 year postoperatively
 Case 2 Abdominal pain, nausea, upper left quadrant abdominal distension Ileocecal resection 14 days Small intestine Laparotomy, manual reduction Discharged on 27th postoperative day
Pandit et al. [13] Colicky, intermittent pain in the left hypochondrium Stoma closure after jejunal and ileal resection, double-barrel jejunostomy 13 days Jejuno–jejunal Conservative Discharged on 20th postoperative day