Pancolonic intususception

Case contributed by Chris O'Donnell


Known cecal carcinoma waiting for surgical excision. Developed severe abdominal pain with vomiting. Small bowel loop dilatation on radiographs, ? site of obstruction.

Patient Data

Age: 85 years
Gender: Female

The colon from ileo-cecal junction is intussuscepted through to the left iliac fossa (distal descending).  Lead point is not well seen but seems to be mucosal thickening, presumed to be the known cecal carcinoma. Note indrawn blood vessels continue to enhance thus the intussuscepted bowel is not definitely ischemic at this time.

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