{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T16:54:43Z","timestamp":1785430483493,"version":"3.56.0"},"reference-count":63,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T00:00:00Z","timestamp":1776038400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"\u201cVictor Babes\u201d University of Medicine and Pharmacy Timisoara"},{"id":[{"id":"https:\/\/ror.org\/00afdp487","id-type":"ROR","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicina"],"abstract":"<jats:p>Adult intussusception is a rare cause of intestinal obstruction that differs markedly from the pediatric form in etiology, clinical presentation, and management. In contrast to predominantly idiopathic pediatric cases, adult intussusception is usually associated with an underlying structural lesion, particularly malignancy in colonic involvement. This narrative review summarizes current evidence regarding the epidemiology, etiologic spectrum, clinical features, diagnostic evaluation, and management of adult colo-colic and sigmoido-rectal intussusception. Clinical presentation is often nonspecific, and distal variants may mimic rectal prolapse or large bowel obstruction, contributing to delayed diagnosis. Contrast-enhanced computed tomography represents the diagnostic modality of choice, enabling the identification of lead points and associated complications. Surgical resection remains the cornerstone of treatment due to the high risk of malignancy, while nonoperative management is reserved for carefully selected cases. Improved recognition of atypical presentations and individualized, imaging-guided management are essential to optimize outcomes in this uncommon but clinically significant condition.<\/jats:p>","DOI":"10.3390\/medicina62040747","type":"journal-article","created":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T13:12:26Z","timestamp":1776085946000},"page":"747","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Adult Colonic\u00a0Intussusception: A Focused Review of Diagnostic and Management Strategies"],"prefix":"10.3390","volume":"62","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-8127-1834","authenticated-orcid":false,"given":"Tudor-Alexandru","family":"Popoiu","sequence":"first","affiliation":[{"name":"Department of Functional Sciences, Medical Informatics and Biostatistics Discipline, \u201cVictor Babes\u201d University of Medicine and Pharmacy Timisoara, 300041 Timisoara, Romania"},{"name":"Doctoral School, Faculty of Medicine, \u201cVictor Babes\u201d University of Medicine and Pharmacy Timisoara, 300041 Timisoara, Romania"},{"name":"IIIrd Surgery Clinic of \u201cPius Brinzeu\u201d,\u00a0County Emergency Clinical Hospital Timisoara, 300723 Timisoara, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-8870-3311","authenticated-orcid":false,"given":"Cicerone Catalin","family":"Grigorescu","sequence":"additional","affiliation":[{"name":"Department of Anatomy, Faculty of General Medicine, Vasile Goldi\u0219 Western University of Arad, 310025 Arad, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6048-6909","authenticated-orcid":false,"given":"Stelian","family":"Pantea","sequence":"additional","affiliation":[{"name":"IIIrd Surgery Clinic of \u201cPius Brinzeu\u201d,\u00a0County Emergency Clinical Hospital Timisoara, 300723 Timisoara, Romania"},{"name":"X Department of General Surgery, \u201cVictor Babes\u201d University of Medicine and Pharmacy Timisoara, 300041 Timisoara, Romania"},{"name":"Discipline of Surgical Emergencies, Department of Surgery III, \u201cVictor Babes\u201d University of Medicine and Pharmacy Timisoara, 300041 Timisoara, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dan","family":"Brebu","sequence":"additional","affiliation":[{"name":"X Department of General Surgery, \u201cVictor Babes\u201d University of Medicine and Pharmacy Timisoara, 300041 Timisoara, Romania"},{"name":"IInd Surgery Clinic, Timi\u0219oara Emergency County Hospital, 300723 Timisoara, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-3742-6252","authenticated-orcid":false,"given":"Mircea","family":"Selaru","sequence":"additional","affiliation":[{"name":"IIIrd Surgery Clinic of \u201cPius Brinzeu\u201d,\u00a0County Emergency Clinical Hospital Timisoara, 300723 Timisoara, Romania"},{"name":"Discipline of Surgical Emergencies, Department of Surgery III, \u201cVictor Babes\u201d University of Medicine and Pharmacy Timisoara, 300041 Timisoara, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,4,13]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"235","DOI":"10.1007\/s00423-024-03429-2","article-title":"Adult intussusception: A systematic review of current literature","volume":"409","author":"Chand","year":"2024","journal-title":"Langenbecks Arch. 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