Presentation
Gastrointestinal bleeding, abdominal discomfort, right flank palpable mass
Patient Data
Age: 90 years
Gender: Female
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/124094/annotated_viewer_json?lang=us"}
- in the right flank is noted a bowel-within-bowel configuration with mesenteric fat and mesenteric vessels pathognomonic for intussusception. In particular, the distal ileum and a thickened wall cecum are invaginated into the ascending colon.
- incidental findings of a liver cyst and sigmoid diverticulosis
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/136400/annotated_viewer_json?lang=us"}
Surgical specimen showing the everted cecum with irregular mucosal thickening.
Courtesy of Dr Olsi Begici, General surgery department, Sanremo civic hospital, Italy
Case Discussion
Contrast-enhanced CT scans demonstrate an ileocolic intussusception secondary to a caceum tumor acting as a lead point. The patient was treated with right hemicolectomy and the surgeons confirmed the diagnosis.
Most adult intestinal intussusceptions are secondary to malignant lesion 1.
Unable to process the form. Check for errors and try again.