Ileocaecal intussusception due to adenocarcinoma
Three days of abdominal pain and distension. On examination, vague fullness in right lower quadrant.
CT abdomen and pelvis
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There is an ileocolic intussusception. Incidental finding of a hiatus hernia.
An intussusception in an adult should raise suspicion of a neoplastic lesion at the lead point. This was confirmed to be a Dukes C1 T3 N1 adenocarcinoma of the caecum which had intussuscepted into the ascending colon, bringing some ileum with it.