Ileocecal intussusception due to adenocarcinoma

Case contributed by Dr Vikas Shah


Three days of abdominal pain and distension. On examination, vague fullness in right lower quadrant.

Patient Data

Age: 45 years
Gender: Female

CT abdomen and pelvis

There is an ileocolic intussusception. Incidental finding of a hiatus hernia.

Case Discussion

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 cecum which had intussuscepted into the ascending colon, bringing some ileum with it.

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Case information

rID: 55564
Published: 18th Sep 2017
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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