Authors
Soloviev I.A., Surov D.A., Balura O.V., Sizonenko N.A., Bromberg B.B., Yakimovich A.I.
Kirov Military Medical Academy, Saint Petersburg
Abstract
Intestinal invagination is most common in children, but its occurrence is also possible in patients between the ages of 25 and 60. The occurrence of acute intestinal obstruction in 15 % of cases is due to intestinal invagination. Often, the cause of invagination can be polyps, blood supply disorders of individual areas of the intestine, primary and metastatic tumors of the small intestine, Meckel diverticula. The case of diagnosis and treatment of the patient with ileocecal invagination is presented. Clinical manifestations of intestinal invagination are described. The role of computed tomography in the diagnosis of intestinal invaginations is indicated. What is described is a differential tactic of operative intervention based on dynamic assessment of intestinal viability after performing disinvagination in the shortest time, performing intestinal resections in case of irreversible ischemic changes.
Keywords: surgery, computed tomography, small intestine invagination, disinvagination, economical resection.
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