Colocolonic intussusception

Case contributed by Dr Wayland Wang

Presentation

Acute abdominal pain. Recent loss of weight.

Patient Data

Age: 50
Gender: Female
ct

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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