{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:32:02Z","timestamp":1786649522168,"version":"build-2736575974"},"reference-count":18,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2016,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Intussusception is a rare cause of intestinal obstruction in adults. Its diagnosis could be elusive based solely on clinical features because of protean presentation. Supplementary imaging allows for preoperative diagnosis, early institution of definitive management, and a better clinical outcome.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods:<\/jats:title>\n                    <jats:p>Records of adults managed for intestinal obstruction by laparotomy in a surgical unit of a tertiary health facility were retrospectively examined. The subgroup having an intraoperative diagnosis of intussusception was extracted and analyzed. Data obtained included age, sex, and primary symptom at presentation. Presence of intestinal perforation, the histology of the lead point of resected tissues, and the final disposition of the patients were documented.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Four hundred and three patients underwent surgical management of intestinal obstruction. Eight patients (2%) had an intraoperative diagnosis of intussusception at laparotomy; four males and four females (male: female = 1:1). Abdominal pain was the presentation in 7 (87.5%) and anal protrusion in 1 (12.5%). Four patients (50%) had bowel perforation with peritonitis. Seven of the resected intestines had lead points which were benign. Two patients (25%) died from sepsis. Resection and anastomosis were done for all the patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Intussusception in adults is uncommon but carries a high morbidity and mortality which can be reduced with a good clinical assessment, appropriate imaging, and early laparotomy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/0300-1652.188324","type":"journal-article","created":{"date-parts":[[2016,8,16]],"date-time":"2016-08-16T00:12:00Z","timestamp":1471306320000},"page":"204-207","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":7,"title":["Adult intussusception: An 8 years institutional review"],"prefix":"10.4103","volume":"57","author":[{"given":"Isaac Assam","family":"Udo","sequence":"first","affiliation":[{"name":"Department of Surgery, University of Uyo Teaching Hospital, Uyo, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emmanuel K.","family":"Abudu","sequence":"additional","affiliation":[{"name":"Department of Histopathology, University of Uyo Teaching Hospital, Uyo, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Felix","family":"Uduma","sequence":"additional","affiliation":[{"name":"Department of Radiology, University of Uyo Teaching Hospital, Uyo, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-20250402","doi-asserted-by":"crossref","first-page":"433","DOI":"10.1159\/000072712","article-title":"Intussusception in adults: A 21-year experience in the university-affiliated emergency center and indication for nonoperative reduction","volume":"20","author":"Omori","year":"2003","journal-title":"Dig Surg"},{"key":"R2-20250402","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1016\/j.amjmed.2007.09.009","article-title":"Is this a lipoma?","volume":"121","author":"Lin","year":"2008","journal-title":"Am J Med"},{"key":"R3-20250402","doi-asserted-by":"crossref","first-page":"691","DOI":"10.2214\/ajr.183.3.1830691","article-title":"Intussusception in adults: From stomach to rectum","volume":"183","author":"Choi","year":"2004","journal-title":"AJR Am J Roentgenol"},{"key":"R4-20250402","doi-asserted-by":"crossref","first-page":"390","DOI":"10.1016\/S1072-7515(98)00331-7","article-title":"Intussusception in adults: Institutional review","volume":"188","author":"Eisen","year":"1999","journal-title":"J Am Coll Surg"},{"key":"R5-20250402","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1097\/00004836-200301000-00007","article-title":"The diagnosis and treatment of adult intussusception","volume":"36","author":"Takeuchi","year":"2003","journal-title":"J Clin Gastroenterol"},{"key":"R6-20250402","first-page":"83","article-title":"Tropical surgical emergencies: Acute intestinal obstruction","volume":"20","author":"Otu","year":"1991","journal-title":"Afr J Med Sci"},{"issue":"34","key":"R7-20250402","first-page":"36","article-title":"Spectrum of causes of intestinal obstruction in adult Nigerian patients","volume":"43","author":"Lawal","year":"2005","journal-title":"S Afr J Surg"},{"key":"R8-20250402","first-page":"236","article-title":"Answer to case of the month #121. Diagnostic imaging of small bowel obstruction secondary to intussusception in an adult female","volume":"58","author":"Gitlin","year":"2007","journal-title":"Can Assoc Radiol J"},{"key":"R9-20250402","doi-asserted-by":"crossref","first-page":"1767","DOI":"10.1111\/j.1440-1746.2007.04907.x","article-title":"Adult intussusception in Asians: Clinical presentations, diagnosis, and treatment","volume":"22","author":"Chang","year":"2007","journal-title":"J Gastroenterol Hepatol"},{"key":"R10-20250402","first-page":"305","article-title":"The \"Ibadan intussusception\"; now a myth? A 10 year review of adult intestinal obstruction in Ibadan, Nigeria","volume":"21","author":"Irabor","year":"2002","journal-title":"West Afr J Med"},{"key":"R11-20250402","first-page":"221","article-title":"Intussusception in Kano: A 5-year analysis of pattern, morbidity and mortality","volume":"12","author":"Edino","year":"2003","journal-title":"Niger J Med"},{"key":"R12-20250402","first-page":"67","article-title":"Descending colon intussusception with complicating transverse colon diverticulosis in a black Nigerian","volume":"9","author":"Agbakwuru","year":"2000","journal-title":"Niger J Med"},{"key":"R13-20250402","doi-asserted-by":"crossref","first-page":"174","DOI":"10.1136\/pgmj.2004.022749","article-title":"Adult intussusception: Case reports and review of literature","volume":"81","author":"Yalamarthi","year":"2005","journal-title":"Postgrad Med J"},{"key":"R14-20250402","doi-asserted-by":"crossref","first-page":"1044","DOI":"10.1046\/j.1445-2197.2003.t01-22-.x","article-title":"Adult intussusception: Experience in Singapore","volume":"73","author":"Tan","year":"2003","journal-title":"ANZ J Surg"},{"key":"R15-20250402","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1259\/bjr.75.890.750185","article-title":"Pictorial review: Adult intussusception - A CT diagnosis","volume":"75","author":"Gayer","year":"2002","journal-title":"Br J Radiol"},{"key":"R16-20250402","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1111\/j.1440-1673.2004.01249.x","article-title":"Multiplanar reconstruction in adult intussusception: Case report and literature review","volume":"48","author":"Dawes","year":"2004","journal-title":"Australas Radiol"},{"key":"R17-20250402","doi-asserted-by":"crossref","first-page":"853","DOI":"10.1148\/radiology.212.3.r99au43853","article-title":"Adult intussusception detected at CT or MR imaging: Clinical-imaging correlation","volume":"212","author":"Warshauer","year":"1999","journal-title":"Radiology"},{"key":"R18-20250402","first-page":"322","article-title":"Colonic intussusception in adults: Three cases and review of literature","volume":"68","author":"Garner","year":"2006","journal-title":"Indian J Surg"}],"container-title":["Nigerian Medical Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/00008322-201657040-00002","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T18:55:00Z","timestamp":1786647300000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/00008322-201657040-00002"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,7]]},"references-count":18,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2016]]}},"URL":"https:\/\/doi.org\/10.4103\/0300-1652.188324","relation":{},"ISSN":["0300-1652","2229-774X"],"issn-type":[{"value":"0300-1652","type":"print"},{"value":"2229-774X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,7]]}}}