Ileocecal intussusception due to adenocarcinoma

Case contributed by Vikas Shah
Diagnosis almost certain

Presentation

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

ct

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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