Presentation
Acute abdominal pain. Recent loss of weight.
Patient Data
Age: 50
Gender: Female
From the case:
Colocolonic intussusception
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At the hepatic flexure, there is colo-colonic intussusception. At the lead point of the intussusceptum there is a heterogeneous mass. No upstream colonic or small bowel dilatation.
The remainder of the abdomen is unremarkable. No osseous or lung bases metastases demonstrated.
Conclusion:
Hepatic flexure mass, compatible with carcinoma, acting as a lead point for colo-colonic intussusception.
Case Discussion
Adenocarcinoma confirmed at surgery.
Small bowel intussusception is often transient without a pathological lead point. Colonic intussusception however should always be regarded with suspicion.
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