Ileocolic intussusception due to caecal cancer
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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.
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.