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Case Reports
. 2020 Dec 31;2020(12):rjaa547.
doi: 10.1093/jscr/rjaa547. eCollection 2020 Dec.

A rare case of acute idiopathic colocolic intussusception in an adult patient

Christopher Seifen  1 , Werner Herzig  2 , Roger Schlüchter  2 , Christian Schraner  2
Affiliations
Case Reports

A rare case of acute idiopathic colocolic intussusception in an adult patient

Christopher Seifen et al. J Surg Case Rep. .

Abstract

Adult intussusception is a rare condition that is frequently associated with malignancy and requires surgical approach. Symptoms are often non-specific and of subacute or chronic character. Therefore, computerized tomography (CT) scan is the most commonly used modality for identifying adult intussusception. A 51-year-old female presented with a 1-day history of increasing abdominal pain. Abdominal ultrasound and CT scan revealed intussusception. Intra-operatively, colocolic intussusception was present and laparoscopically reduced. A lead point was found neither intra-operatively nor in post-operative ileocolonoscopy and resection of involved bowel segments was not necessary.

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Figures

Figure 1
Figure 1
Abdominal ultrasound showed a ‘pseudokidney’ sign on the longitudinal view of the lower abdomen.
Figure 2
Figure 2
Intravenous contrast-enhanced abdominal and pelvic CT scan showed the full extent of the colocolic intussusception. No lead point was evident. (Left) Coronar view with ‘sausage’-shaped lesion. (Middle) Axial view with ‘sausage’-shaped lesion. (Right) Sagittal view with ‘targed’-shaped lesion.
Figure 3
Figure 3
Intra-operative finding of the intussusception. (Left) The terminal ileum and the appendix were pulled like a tail by the intussusceptum into the intussusception. (Right) The cecum was identified as the intussusceptum, telescoping into the transverse colon that was identified as the intussuscipiens.
See this image and copyright information in PMC

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