Acute Intestinal Invaginators in Adults: Concerning 10 Cases in the General Surgery Department of the Prefectural Hospital of Koundara, Guinea

Introduction: This is a rare condition in adults that represents 1 to 5% of intestinal occlusions; intussusception in adults often leads to the discovery of an underlying cause, which may be tumor-related or not. The aim of this work is to report the experience of our department in the management of acute intestinal intussusception in adults. Patients and Methods: This was a descriptive retrospective study over a period of eight (8) years, focusing on the records of patients of both sexes aged over 15 years, in whom the diagnosis of acute intestinal intussusception was made and confirmed intraoperatively. Epidemiological, clinical, therapeutic, and prognostic variables were studied. Results: We collected 10 cases, representing 0.26% of interventions and 2.5% of acute intestinal obstructions. The average age was 39.4 years, with extremes of 15 and 70 years. A male predominance was noted with a sex ratio of 1.5. Abdominal pain was reported in all patients; eight (08) patients presented with bowel obstruction. The abdominal X-ray revealed hydro-aerial levels in 8 cases. The abdominal ultrasound showed a target sign in 3 cases. Laparotomy was performed through a median supra and subumbilical incision for all cases. 6 ileo-ileal intussusceptions, including 3 due to tumors, were observed. Ileal resection was performed in 5 patients. The postoperative outcomes were good in 7 out of 10 patients. Conclusion: Intestinal invaginations in adults have been rare. Treatment is always surgical in adults, with resection being more frequent than simple reduction; thus, improving prognosis depends on enhancing effective diagnostic and resuscitation methods.