Presentation
Acute onset severe abdominal pain. Palpable mass in epigastrium.
Patient Data
Age: 50 years
Gender: Female
From the case:
Colocolic intussusception
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Telescoping of distal ascending colon and hepatic flexure into proximal transverse colon with a poorly enhancing large mass appearing as a lead point and telescoped inside the distal bowel.
From the case:
Colocolic intussusception
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Annotated depiction of the recipient loop, telescoped loop and the lead point.
Case Discussion
Intussusception in adults commonly occurs following a lead point. In large bowel, the most common lead point is a neoplasm, commonly colorectal carcinoma. The patient tends to present with severe acute colicky abdominal pain as the peristalsis attempts to relieve the telescoping. Reduction, followed by elimination of lead point is necessary to prevent recurrence.
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