Intussusception

Presentation

Acute abdomen

Patient Data

Age: 35 years
Gender: Male
Modality: CT

There is a bowel-within-bowel configuration seen forming a mass in the right side of the abdomen, containing multiple enlarged mesenteric lymph nodes, mesenteric fat and mesenteric vessels. There is also circumferential colonic wall thickening with submucosal edema (congestion), with no gas bubbles within the involved bowel wall. The bowel enema images show a persistent intussusception.

Case Discussion

MSCT findings are of a hepatic flexure (colo-colic) intussusception. The most common cause of adult intussusception is colonic cancer. The histology in this case confirmed a colonic adenocarcinoma.

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Case Information

rID: 50244
Case created: 26th Dec 2016
Last edited: 27th Jan 2017
Inclusion in quiz mode: Excluded

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