Colocolic intussusception due to the tumoral infiltration

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain

Presentation

Abdominal pain and inferior gastrointestinal bleeding. Abdominal mass feeling on the physical exam.

Patient Data

Age: 55 years
Gender: Male

Asymmetrical increased wall thickness and colocolic intussusception are seen in the transverse colon, accompanied by surrounding fat stranding. There is no sign of local invasion to the adjacent structures. The colon distal to the intussusception site is collapsed.

Additionally, several small enlarged lymph nodes are seen in the vicinity of the diseased segment.

Case Discussion

The patient underwent partial colectomy, and histopathology evaluation confirmed colon adenocarcinoma as the lead point of the intussusception.

Gastrointestinal malignancy, particularly colorectal cancer, is the most common cause of intussusception in adults, accounting for 65% of cases.

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