Abstract
Colonic intussusception on carcinoma is rare. We report the case of an ileo-coeco-colic invagination on carcinoma of the right colon that occurred in a 40-year-old patient. The clinical symptomatology had a tendency to tumoral pathology of the colon. The ultrasound performed revealed acute intussusception. During the operation, we found an ileoceco-colic intussusception. A right hemicolectomy was performed. Anatomopathological examination of the operative specimen confirmed the diagnosis of adenocarcinoma. Conclusion: Intussusception is uncommon in adults, and is often indicative of an organic barrier to colon. His symptomatology is not very specific. Ultrasound and abdominal computed tomography help in the diagnosis. Surgical excision followed by anatomopathological examination of the operative specimen allows the diagnosis to be made histologically.
Highlights
Acute intussusception (IBI) is a common pathology in children rarely seen in adults [1]
We report the case of an ileo-coeco-colic invagination on carcinoma of the right colon that occurred in a 40-year-old patient
We report a rare case of acute intestinal obstruction due to ileo-coecolonic invagination secondary to ascending colon adenocarcinoma in a 40-year-old patient in the surgery “A” department of the Point G
Summary
Acute intussusception (IBI) is a common pathology in children rarely seen in adults [1]. It accounts for less than 5% of acute intestinal occlusions in adults. The intaginations concern the small intestine in 75% of the cases and the colon in 25% of the cases [1]. The ileo coecale form is the most common anatomical form. We report a rare case of acute intestinal obstruction due to ileo-coecolonic invagination secondary to ascending colon adenocarcinoma in a 40-year-old patient in the surgery “A” department of the Point G. Following data analysis of the literature concerning this pathology, we discussed the clinical, paraclinical and therapeutic characteristics
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