Colocolic intussusception due to the tumoral infiltration

Case contributed by Mohammad Niknejad
Diagnosis almost certain

Presentation

Workup for chronic constipation and recent abdominopelvic pain.

Patient Data

Age: 75 years
Gender: Male
This study is a stack
Axial C+ portal
venous phase
This study is a stack
Axial C+ delayed
+ rectal contrast
This study is a stack
Coronal C+ delayed
+ rectal contrast
This study is a stack
Sagittal C+ delayed
+ rectal contrast
Download
Info

Asymmetrical increased wall thickness due to tumoral infiltration is present in the distal sigmoid colon, causing colocolic intussusception. Mild surrounding fat stranding is also observed.

A few small calcified foci are seen at liver parenchyma, most consistent with healed granuloma.

The prostate gland is enlarged.

Case Discussion

The patient went to have a partial colectomy, and histopathology evaluation confirmed colon adenocarcinoma as the lead point of the intussusception.

Gastrointestinal malignancy, particularly colorectal cancer, is the most common cause of intussusception in adults, accounting for 65% of cases.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

:

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.