Colocolonic intussusception identified during endoscopy: an incidental diagnosis.

Endoscopy

Department of Gastroenterology and Hepatology, UCSF Fresno, Fresno, California, USA.

Published: December 2022

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http://dx.doi.org/10.1055/a-1773-0602DOI Listing

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Article Synopsis
  • A 79-year-old man with no prior health issues experienced mild abdominal pain, leading to a diagnosis of 17 cm colo-colonic intussusception involving parts of his colon and small intestine.
  • After being transferred for surgery, he underwent a right hemicolectomy and recovery went smoothly, allowing for discharge just a week later.
  • Post-surgery, he was diagnosed with mucinous adenocarcinoma of the caecum but was not recommended for additional treatment, instead starting a five-year cancer surveillance program.
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Article Synopsis
  • * A case study of a 62-year-old man revealed a fatty mass causing gastrointestinal blockage, leading to surgery where two lipomas were found, one responsible for the intussusception.
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Intussusception is a rare presentation in adult population and usually occurs secondary to an underlying pathology. We report an unusual case of a 28-year-old female who developed a colo-colonic intussusception secondary to Burkitt lymphoma which was managed with an extended right hemicolectomy. The case was further complicated by a segment of small bowel with malignant adhesion to a prosthetic mesh requiring resection of the involved segment of small bowel.

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We report the case of an 86-year-old male who was admitted for intestinal subocclusion, in whom an abdominal computed tomography (CT) scan and colonoscopy revealed a colocolonic intussusception with an underlying and heterogeneous mass, failing to rule out a neoformative lesion. A left hemicolectomy procedure was carried out with regional lymphadenectomy (because of the potential neoplastic origin) through laparoscopy, and the patient had a favourable postoperative course. Pathology described 45cm of an intestinal segment, with intussusception and with a 12x7x6 cm ulcerated polypoid lesion.

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Colo-colonic intussusception as a rare complication of colonoscopy with polypectomy: Two case reports.

World J Gastrointest Surg

June 2024

Department of Gastroenterology, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, Zhejiang Province, China.

Background: Colonoscopy is the most frequently used diagnostic and therapeutic tool for the treatment of colorectal diseases. Although the complication rate is low, it can be potentially serious. Intussusception is a rare and severe complication often associated with polypectomy.

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