Presentation
Recently noted anemia, low iron, some constipation. Examination – normal PR exam but firm significant swelling over sigmoid area (LIF).
Patient Data
Age: 85
Gender: Female
From the case:
Colocolonic intussusception
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Concentric bowel wall soft tissue thickening over a 5.8 cm segment of the mid transverse colon is evident and is highly suspicious for colorectal carcinoma. Resultant short colo-colonic intussusception.
Several small adjacent nodules measuring up to 6 mm in diameter may reflect local metastases. No enlarged mesenteric lymph nodes identified.
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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