TITLE:
Acute Intussusception of the Adult in Burkina Faso, a Tropical Area: Our Experience about 30 Cases
AUTHORS:
Zida Maurice, Ouangré Edgar, Ouedraogo Souleymane, Doamba Rodrigue, Kafando Roch Justin, Zan Abdoulaye, Traoré Si Simon
KEYWORDS:
Acute Intestinal Intussusception, Adult, Intestinal Tumor, Burkina Faso
JOURNAL NAME:
Surgical Science,
Vol.9 No.6,
June
15,
2018
ABSTRACT: Objective: To describe the etiological, clinical and therapeutic aspects of adults’
intussusception at Yalgado Ouedraogo University Hospital in Ouagadougou (CHU-YO),
Burkina Faso. Patients and method: This descriptive cross-sectional
study was conducted between May 2011 and April 2016 at CHU-YO. All patients
with 16 years of age and older operated on for intussusception were included. Results: Thirty patients were identified, 15 men and as many women. Their average age
was 37.3 years. A higher frequency was noted between 30 and 39 years. The
installation of the symptomatology was insidious in 22 cases and brutal in 8
cases. The reasons for consultation were abdominal pain (30 cases), vomiting
(19 cases), intestinal transit stop (18 cases) and rectorrhagia (9 cases). Physical examination noted an abdominal mass in 11 cases and
a localized abdominal tenderness in 7 cases. An intussusception coil was
identified on ultrasound in 9 cases. All patients underwent surgery under
general anesthesia and the approach was laparotomy. Intraoperatively, the
intussusception was ileocolic in 15 cases; a right hemi-colectomy
was performed. It was colo-colic intussusception in 10 cases and the
treatment thus consisted of a left hemi-colectomy. In other 5 cases,
intussusception was ileal, requiring ileal resection. The average hospital stay
was 11.7 days. Pathologically, the examination was normal in 2 cases. A colic
tumor was found in 14 cases and an ileum tumor in 6 cases. In the other 8
cases, it was an inflammatory aspect of the intestine. Conclusion: In tropical
Burkina Faso, adult intussusception often occurs on an intestinal tumor. The
symptomatology is atypical.