Presentation
Recurrent colicky epigastric pain that increased during the last 36 hours and with a palpable tender abdominal mass.
Patient Data
Telescoping seen at mid-transverse colon centered around marked focal asymmetrical wall thickening indicates colocolic intussusception with underlying colonic tumor.
Adjacent enlarged regional lymph nodes and pericolic fat stranding.
First image demonstrates pseudokidney sign.
Second image demonstrates target or donut sign.
Selected axial image at the level of colocolic intussusception.
Case Discussion
This is a classical case of colocolic intussusception secondary to underlying colonic tumor.
Surgical management confirmed colocolic intussusception with underlying mass lesion, which was histologically confirmed to be a moderately differentiated mucinous adenocarcinoma invading the visceral peritoneum.
Case contributors:
- Emad Saleh Tarawneh (radiology consultant)
- Maher Ahmad Tarawneh (specialty trainee)
- Mohamed Ahmed Kharabsheh (specialty trainee)
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