Iliocaecal intussusception - ulcerative colitis

Case contributed by Ayman Elmesalamy
Diagnosis certain

Presentation

A known case of pathologically proven ulcerative colitis affecting the descending and sigmoid colon presented with right iliac fossa pain. Her CBC revealed low hemoglobin.

Patient Data

Age: 20 years
Gender: Female

CT Abdomen and pelvis

ct

Iliocecal intussuception, the intussuceptum showing diffuse mural edema.

Diffuse mucosal thickening of the descending colon and sigmoid with loss of haustration are noted.

Mild free pelvic fluid

Case Discussion

The patient was taken to laparotomy that showed a mural hematoma a focal resection was performed. 

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