We report the case of a woman in her early 60s, who presented with colocolic intussusception, leading to acute large bowel obstruction. The patient presented with colicky abdominal pain, diarrhoea mixed with blood and mucous and raised inflammatory markers. Abdominal examination revealed mild tenderness in the left lower abdomen. The CT scan reported colocolic intussusception extending from proximal to mid-sigmoid colon, with early ischaemic changes. The patient underwent laparoscopy-assisted sigmoid colectomy with an end colostomy and an uneventful postoperative recovery. Histopathological examination identified a benign colonic lipoma, with ischaemic and necrosed intussuscepted colonic segment. Intestinal intussusception is rare in adults and only accounts for 1% of the cases of intestinal obstruction in adults, mostly caused by a pathological lead point like colonic adenocarcinoma or a benign lipoma. Due to the potential risk of malignancy, radiological decompression is not advisable in adults, and en bloc resection of the intussuscepted segment is recommended.
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We report the case of a woman in her early 60s, who presented with colocolic intussusception, leading to acute large bowel obstruction. The patient presented with colicky abdominal pain, diarrhoea mixed with blood and mucous and raised inflammatory markers. Abdominal examination revealed mild tenderness in the left lower abdomen.
View Article and Find Full Text PDFColo-colic intussusception secondary to a giant lipoma: A case report.
Radiol Case Rep
March 2025
Department of Radiology, Hôtel-Dieu de France Hospital, Saint Joseph University, Beirut, Lebanon.
Intussusception in adults is a rare condition often associated with a pathological lead point, which is frequently malignant but can occasionally be benign, such as colonic lipomas. We report the case of a 60-year-old male who presented with colicky abdominal pain, and a computed tomography (CT) revealed a colo-colic intussusception caused by a 6 cm lipoma in the transverse colon, accompanied by ischemic changes in the colonic mucosa. The patient underwent a right hemicolectomy, and histopathology confirmed the benign nature of the lesion.
View Article and Find Full Text PDFAdult Intussusception in Jordan: Demographics, Clinical Features, and Outcomes from a Tertiary Hospital.
Med Sci Monit Basic Res
December 2024
Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan.
Article Synopsis
- Adult intussusception (AI) is a rare condition in patients over 18 that presents with various symptoms, often requiring surgical treatment, and is primarily diagnosed using CT scans.
- A study of 26 cases revealed that the condition is more common in males with an average age of 53, where the most frequent symptom is abdominal pain; however, bleeding per rectum is notably linked to more severe, malignant causes.
- Understanding the characteristics and predictive factors of AI can help in managing the condition effectively, emphasizing the importance of a multidisciplinary approach in treatment strategies.
The management of colo-colic intussusception on left colon tumor in an adult: Case presentation and review of the literature.
Int J Surg Case Rep
December 2024
Digestive Surgical Department C, Ibn Sina University Hospital, Rabat, Morocco; Faculty of Medicine and Pharmacy, . Mohammed V University in Rabat, Morocco.
Introduction And Importance: Intestinal intussusception is rare in adults and often associated with underlying malignancies. In this case, a colo-colic intussusception involving the descending colon caused acute obstruction, ischemic pain, and carried a high risk for peritonitis, necessitating urgent surgical intervention to prevent severe complications.
Case Presentation: We report the case of a 50-year-old male who presented with acute abdominal obtruction and a three-day history of fecal vomiting, left-sided abdominal pain, and recent rectal bleeding.
Acute colocolic intussusception: A rare pediatric presentation.
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January 2025
Paediatric Radiology Department, Ibn Sina University Hospital Center, Rabat, Morocco.
Article Synopsis
- * Imaging techniques, especially ultrasound, are essential for detecting this condition due to their effectiveness in identifying its specific features.
- * A case study of a 9-month-old boy demonstrated colocolic intussusception with no clear cause, leading to tissue damage that required surgical removal and reconnection of the affected colon segments.
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