Acute Intussusception of the Adult in Burkina Faso, a Tropical Area: Our Experience about 30 Cases

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Résumé

Abstract
Objective: To describe the etiological, clinical and therapeutic aspects of
adults’ intussusception at Yalgado Ouedraogo University Hospital in Ouaga
dougou (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 intus
susception 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 intus
susception coil was identified on ultrasound in 9 cases. All patients underwent
surgery under general anesthesia and the approach was laparotomy. Intra
operatively, the intussusception was ileocolic in 15 cases; a right he
mi-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.

Mots-clés

Acute Intestinal Intussusception, Adult, Intestinal Tumor, Burkina Faso