Colocolonic intussusception

Case contributed by Dr Wayland Wang


Acute abdominal pain. Recent loss of weight.

Patient Data

Age: 50
Gender: Female

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.


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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