Abstract
Adult intussusception (AI) is uncommon condition that represents 1-5 % of intestinal obstruction and is frequently caused by an underlying disease with 70-90% of cases having a demonstrable cause based on imaging findings and surgical results. The most common causes of colonic AI are neoplasm. We report a case of right colo-colic intussusception sustained by a malignant tumor.
Highlights
The Colonic intussusceptions is a rare event that deserves a greater degree of interest especially if it occurs in the adult population [1]
We describe below a case of a young woman with no familiarity with colon adenocarcinoma who came to our observation for intestinal obstruction due to intussusception of the large intestine, undergoing laparoscopic right hemicolectomy surgery
A 44-year-old woman with no family history of colon adenocarcinoma was brought to our emergency department with a 3-month history of intermittent abdominal pain accompanied by nausea and vomiting
Summary
The Colonic intussusceptions is a rare event that deserves a greater degree of interest especially if it occurs in the adult population [1]. Colonic intussusception is caused by a malignancy more frequent respect to small-bowel intussusception, because of the greater prevalence of malignant tumors in the colon than in the small bowel [2, 3] This condition in adult needs to be thoroughly investigated and certainly deserves surgical treatment [4,5,6]. For about 24 hours, symptoms worsened with the presence of fecaloid vomiting She denied any history of gastrointestinal bleeding, fever, or past abdominal surgery. We performed a laparoscopic right hemicolectomy following strict oncologic principles with “en bloc resection” and lymphadenectomy given the risk of an underlying malignancy Considering this risk, previous reduction of the invaginated segments was not attempted. Postoperative course was uneventful and patient was discharged 6 days after surgery
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