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May 1973

Adult Tropical Intussusception in Haiti

Author Affiliations

New Haven, Conn
From the Department of Surgery, Yale University School of Medicine (Drs. Greco and Lepreau), New Haven, Conn; and Hôpital Albert Schweitzer, (Dr. Lepreau), Deschapelles, Haiti, West Indies.

Arch Surg. 1973;106(5):689-691. doi:10.1001/archsurg.1973.01350170055013

Fifteen cases of adult intussusception in Haiti were analyzed. These were predominately idiopathic, and adults accounted for one third of all cases. The disease was most common in the third and sixth decades of life. Ileocecal and ileocolic intussusceptions accounted for two thirds of this series. Our cases showed a high incidence of gangrenous bowel. A staged resection is recommended because of the high risk of anastomotic leakage following primary anastomosis in chronically obstructed, unprepared bowel.

Haitian intussusception has been found to be similar to other tropical intussusceptions in its predilection for adults and the predominance of idiopathic cases. It was different, however, in that most cases are of the ileocecal and ileocolic type and because of the high percentage of gangrenous bowel.