Colocolic intussusception

Case contributed by Dr Jörgen Strömberg


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

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.

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Case information

rID: 38809
Published: 22nd Jan 2016
Last edited: 27th Feb 2019
Inclusion in quiz mode: Included

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