Chronic colocolic intussusception

Case contributed by Dr Anirudh Chawla

Presentation

Chronic constipation and abdominal distension for 1 year.

Patient Data

Age: 15 years
Gender: Male
Modality: Ultrasound

Longitudinal panoramic and transverse ultrasound images at left lumbar and left iliac fossa region show a large heterogeneous lesion with internal air and internal vascular channels.

Modality: CT

Coronal and axial sections of CECT, delayed phase with positive rectal contrast show bowel within bowel appearance at left lumbar and left iliac fossa region with pull of mesenteric fat and vessels within suggestive of colo-colic intussusception.

Case Discussion

The patient presented with complaint of constipation and abdominal distension for one year. A large soft lump was palpable at left lumbar and left iliac fossa region. Ultrasound and CT images demonstrated colo-colic intussusception involving the descending colon, sigmoid colon and rectum with enlarged lymph nodes acting as likely lead point.

The diagnosis was confirmed surgically and the intussusception was reduced manually.

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Case Information

rID: 47673
Case created: 28th Aug 2016
Last edited: 5th Oct 2016
Inclusion in quiz mode: Included

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