Colocolic intussusception

Case contributed by Dr Jörgen Strömberg

Presentation

This elderly patient presented with a history of slowly progressing weight loss, fatigue, and anemia. No acute symptoms from the abdomen were present at examination.

Patient Data

Age: 85-90Y
Gender: Female
CT

There is a large mass at the left colonic flexure. Proximal to it, the colon lumen is filled with mesenteric fat and vascular structures that lead towards the mass. The findings are consistent with a colocolic intussusception. The ileocolic valve can be identified in the right fossa and does not seem to be involved in the intussusception.

Case Discussion

Colocolic intussusception in adults is most commonly due to a neoplasm acting as leading point.

Indeed, surgery confirmed a colonic carcinoma located near the right colonic flexure as the cause of intussusception in this specific case.

The clinical presentation of this patient, without prolonged symptoms such as fatigue and anemia rather than acute abdominal pain, suggests that the identiefied intussusception was long standing.

PlayAdd to Share

Case information

rID: 38809
Case created: 5th Aug 2015
Last edited: 23rd Jan 2016
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

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

Alert accept Thank you for updating your details.