Profiling intussusception in adults: focusing on treatment decision based on

the clinical manifestations and MDCT features

Qiu-jie Dong1 and Yi Wang2

1
Department of Nuclear Medicine, Daping Hospital, Army Medical University, Chongqing,
China, dqjsyjs@163.com

2
Department of Nuclear Medicine, Daping Hospital, Army Medical University, Chongqing,
China, ywhxl@qq.com

Abstract: (Max words limit 300)

Purpose: To introduce the clinical manifestations, multidetector computed tomographic

(MDCT) features, etiology and treatment of three types of intussusceptions in adults, in order
to identify indicators that an intussusception may require surgery.

Methods: We retrospectively reviewed 186 adult patients with 194 intussusceptions

diagnosed by MDCT. Depending on the location, intussusceptions were classified as enteric,
ileocolic and colonic types. Meanwhile, three types of intussusceptions were divided into
surgical and conservative groups based on treatment. They were introduced and compared in
terms of clinical manifestations, MDCT features, etiology and treatment. Univariate and
multivariate logistic analyses were used to identify possible risk factors for intussusception
requiring surgery.

Results: There were 73 enteric intussusceptions in 66 patients, and 32 intussusceptions in 28

patients were in the surgical group. Each of the 49 patients had one ileocolic intussusception
and 46 intussusceptions belonged to the surgical group. Seventy-one patients had 72 colonic
intussusceptions, and all but one patient with one intussusception were in the surgical group.
Enteric and ileocolic intussusceptions mainly presented with abdominal pain (78.79% and
85.71%). Hematochezia/melena (63.38%) and abdominal pain (59.15%) were the main
symptoms of colonic intussusception, followed by changes in bowel habits (45.07%).
Ileocolic intussusception was longer in length, larger in diameter, and more associated with
hypodense layer and fluid collection than enteric and colonic intussusceptions. Among
enteric intussusceptions, intussusception diameter (OR=2.972, P=0.009) and discernible lead
point on MDCT (OR=27.064, P<0.001) were reliable indicators of intussusception requiring
surgery.

Conclusion: The clinical manifestations and MDCT features of three types of

intussusceptions have different emphases. It is recommended that ileocolic intussusception
should be separated from enteric and colon types. Less than half of enteric intussusceptions
require surgery, and MDCT features are effective in identifying intussusception that needs
surgery. Surgery remains the treatment of choice for the bulk of ileocolic and colonic
intussusceptions.

Biography of Author: (Max words limit 100)

Wang Yi is a radiologist who has been engaged in clinical imaging, scientific research, and
teaching for over 20 years. He has a wealth of expertise in both clinical and scientific
imaging research, especially excels in clinical imaging and basic experimental research of
gastrointestinal disorders.

Qiu-jie Dong, a graduate student at the Army Medical University, has published a paper so
far.

Details of the Presenting Author:

Full Name: Qiu-jie Dong
Email ID: dqjsyjs@163.com
Alternative Email:
Contact Number: 15181775251
WhatsApp Number:
Country: China
Presentation Category: (Oral/Poster Presentation)

Add a Recent Photograph with High Resolution