Ileocolic intussusception due to caecal cancer

Case contributed by Dr Andrew Dixon

Presentation

Abdominal pain.

Patient Data

Age: 55
Gender: Female

There is intussusception of the caecum and terminal ileum into the ascending colon with the a mass acting as the lead point. Collapsed large bowel distal to this consistent with obstruction. Small bowel faeces sign is seen proximal to the intussusception. Small volume free fluid. Prior cholecystectomy. 

Case Discussion

Ileocolic intussusception. At surgery a caecal cancer was confirmed as the lead point and a right hemicolectomy performed. Only bowel that is mobile (ie. on a mesentery) is able to intussuscept and it is important to remember that, unlike the ascending colon which is retroperitoneal, the caecum is generally somewhat mobile on a mesentery.

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Case information

rID: 36684
Case created: 4th May 2015
Last edited: 24th Nov 2015
Inclusion in quiz mode: Included

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