Colocolic intussusception

Case contributed by Dr Varun Babu

Presentation

Acute onset severe abdominal pain. Palpable mass in epigastrium.

Patient Data

Age: 50 years
Gender: Female
CT

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. 

Annotated image

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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Case information

rID: 57129
Case created: 8th Dec 2017
Last edited: 8th Dec 2017
Inclusion in quiz mode: Included
Institution: Vivid Diagnostic Centre

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