Colic Intussusception Research Articles

Ileo Colic Intussusception Secondary to Primary Intestinal Tumour: A case report

Intussusception is defined as invagination of bowel within adjacent segment. Invariably it is the proximal into distal bowel it is commonly seen in child between 3-9 month, very rarely it is seen in adults. Child to adult ratio is 20:1. Most common cause in adult is associated with a lead point which is usually a polyp, sub mucosal lipoma or tumor (GIST). Intussusception Colo colic is most common. And thereafter comes ileocolic. A gastro intestinal stromal tumor (GIST) is Defined as spindle epithelioid or occasionally pleomorphic mesenchymal tumors of gastrointestinal tract that expresses the KIT protein and approximately 2% of all neoplasm of the gastro intestinal tract is classified as GIST.

Colo-colic intussusception due to left colic tumor: A rare cause in adults

IIntussusception in adults is quite rare. Among the leading causes, tumor comes first. A 49 year old male admitted for acute bowel obstruction due to left colo colic intussusception.

Caecal endometriosis causing colo-colic intussusception: a rare cause of bowel obstruction

Intussusception refers to telescoping of a segment of bowel into adjacent bowel. Only 5% occurs in adults. Causes include neoplasm and inflammatory causes. Caecal endometriosis causing colo colic intussusception is extremely rare condition. A 45-year-old menstruating female presented with complaints of diffuse abdominal pain with vomiting for 10 days. No history of menstrual abnormalities. P/A-mass of 8×5 cm was palpable in right lumbar and umbilical region with mild tenderness. Cect abdomen-colo colic intussusception involving ascending colon and right 2/3rd of transverse colon with no obvious lead point. Patient was taken up for emergency laparotomy and it revealed 1) Intussusception of caecum into ascending colon extending upto hepatic flexure, 2) Multiple black colored nodules over lateral pelvic wall, small bowel, omentum, mesentery, ascending sigmoid colon, 3) Anterior surface of rectum was found to be adherent to posterior surface of uterus and pouch of Douglas inaccessible, 4) Multiple nodes were identified within mesentery. Laparotomy proceeded and gentle manual reduction of intussusceptum was done and growth palpable within caecum, suspecting the growth to be malignant right hemicolectomy with ileocolic end to side anastomosis done. Post operative period uneventful, HPE-endometriosis caecum. Intussusception in adult is rare entity and endometrial mass in caecum acting as lead point has been infrequently reported. Clinical and radiological investigations are of little help in diagnosing endometriosis. Hence, high clinical suspicion is required in patients with previous history of endometriosis.

Delayed diagnosis of transanal prolapse of an ileo-colic intussusception in a 10-month-old infant in rural Cameroon: a case report

BackgroundTransanal protrusion of intussusception is a complication of intussusception which involves the exteriorization of the apex of the intussusceptum through the anus. However, it is rarely reported and its confusion with rectal prolapse often leads to a diagnostic delay.Case presentationA 10-month-old female with no significant past history from a rural area in the Extreme North region of Cameroon was referred from a local health centre to our emergency deparment for an irreducible mass. It was reported that the child had spent 5 days at home on over-the-counter medication, then 3 days at a health centre where she was being treated for a respiratory tract infection and a rectal prolapse. On arrival at our hospital, she was conscious and moderately dehydrated. Cardiopulmonary examination revealed generalized coarse crackles over both lung fields. Her abdomen was tender, with a left upper quadrant mass, absent bowel sounds and a dark anal mass. In view of these, diagnoses of bronchopneumonia, intestinal obstruction and a probable rectal prolapse were made. An exploratory laparotomy was carried out after resuscitation with per-operative findings of a prolapsed ileo- colic intussusception and a necrosed intussusceptum. The necrosed portion was resected and an end-to-end ileo-transverse anastomosis was carried out. The immediate post- operative period was uneventful, but the patient died 3 days after the surgery, from an overwhelming sepsis.ConclusionsTransanal protrusion of intussusception requires timely surgical intervention to prevent mortality. The similarity in presentation to rectal prolapse coupled with inadequate knowledge on the condition by primary healthcare personnel causes a delay in the diagnosis and an increased mortality. A high index of suspicion is essential for an early diagnosis and an improved referral system for timely and definitive treatment.

Rectal projection of ileo-colic intussusception in a dog: case report

Intestinal intussusceptions and rectal prolapses deserve due attention and care because they have a high occurrence in the surgical clinic and require urgent intervention. Rectal prolapsed ileocecal intussusceptions are not so commonly seen on an outpatient basis and diagnosis is made to differentiate from simple rectal prolapses that does not compromise large intestinal segments and does not usually require celiotomy for its surgical reduction. Rectal examination is necessary in order to verify the difference here, since in simple rectal prolapse the thermometer or probe is not allowed to project between the prolapse and the anus. This report aims to present aspects related to rectal prolapsed ileo-cecal colic intussusception in canine species.

Colo-Colic Invagination on Lipoma

Intussusception in adults is rare and accounts for 1% to 5% of cases of acute bowel obstruction. Moreso, colic intussusception remains exceptional in adults and is usually secondary to an endoluminal lesion. Abdominal intestinal lipomas are rarely responsible for colonic invagination. They are often located on the caecum or the ascending colon and rarely on the left colon. We report the case of colo-colic invagination on a descending colon lipoma in a 50-year-old woman.

Lipome géant colique : à propos d’un cas à l’origine d’une invagination iléo-colique

The colic intussusception on lipoma is rare. Herein, we report the case of ileocolic intussusception in the right colic lipoma occurred in a 42-years-old woman. The clinical and ultrasonographic aspects directed towards an urinary pathology. The occurrence of an occlusive syndrome and ileocolic intussusception detected by computerized tomographic (CT) scan are consistent with a right hemicolectomy. Furthermore, pathological investigation confirmed the diagnosis of lipoma. Colonic lipoma is rare and its symptoms are not specific. Abdominal CT scan helps for the diagnosis by giving evidence for an intussusception and sometimes for a tumor. Surgical excision followed by pathological examination of the surgical specimen enables the diagnosis of lipoma.

A rare case of intussusception diagnosed by ultrasonography: lipoma of the colon

Not available.

Burkitt's Lymphoma Causing Intussusception in Adults:Report of two Cases and Review of the Literature

Background: Burkitt’s lymphoma (BL) related intussusception causing intestinal obstruction in adults is very rare. Two cases of BL related ileocecal intussusception were operated in our clinic and treatment options were explained with previous literature. Patients and Method: The English medical literature in the PubMed and Google Scholar databases was reviewed for adult related ileocecal intussusception, and 10 reports concerning 10 cases of intussusception due to BL were noticed. Our presented two cases of BL related ileocecal intussusception were 17 and 19 years old and both male. both operated due to acute abdomen. Results: The patients printed in the literature were aged from 16 to 52 years. According to the localization of lymphoma, 6 patients had ileo-colic intussusception, 2 had ileal, and 2 had colic intussusception. In terms of the diagnosis, 10 patients were diagnosed with computerized tomography (CT). Our patient one was 17 years old male complaining from abdominal pain, distention and not passing gas and flatus, having rebound and tenderness on the abdomen. Bowel sounds were increased and abdomen was distended. Laboratory values were normal. Patient was HIV negative and EBV was negative. CT target”-shaped soft-tissue mass with a layering effect of ileo-colic intussusception. At exploration ileum was invaginated through ileocecal valve to cecum. Cecum mass about 5 cm in diameter was noticed. Right hemicolectomy and ileocolic anastomosis was performed. Macroscopy showed 6×5.5 cm polypoid tumor formation blocked the lumen. A few lymph node with the largest 2.5×2 cm were dissected in the mucosa. On immunohistochemical studies; CD20 in CD10 staining were observed strong positive staining. TdT, CD23, CD5 and bcl-2 staining were not observed. Ki-67 proliferation index was evaluated as 100%. Tumor involvement was observed diagnosis was BL. Our other patient 19 years male patients with abdominal pain and constipation. There was no history of weight loss or fever. Physical examination showed defans and rebound in the right lower quadrant of abdomen in both patients. Bowel sounds were increased. No evidence of any lymph nodes during systematic examination appeared. Laboratory values were normal with negative HIV. In situ hybridization for EB virus was negative forms of sporadic BL. Intravenous contrast for abdominal tomography was taken and A “sausage”-shaped soft tissue mass with ileo-colic intussusception appeared. 4 cm mass in the terminal ileum was palpated. patient had ileal resection and ileoileal anastomosis. Pathology showed a tumor 4 cm in diameter blocked ileum completely and infiltrated serosa of ileum. immunohistochemical studies CD20, CD10 staining were positive, CD3, CD5, CD23, bcl-6 and TdT staining were negative. Ki-67 proliferation index was 100%. Burkitt's lymphoma was diagnosed in the location of terminal ileum. Both patients was discharged with good bowel movements without any complication and referred to the hematology for chemotherapy treatment. Complete resection is very important and improve survival. Conclusion: BL related intussusception is very rare in adults. Complete resection is required and improve patient survival.

Mixed Adenoneuroendocrine Carcinoma of Cecum: A Rare Entity

Mixed adenoneuroendocrine carcinoma of cecum (MANEC) was first reported by Cardier in 1924. These tumors are thought to arise from multi-potential stem cells, which have differentiated bidirectionally. Location of the tumor influences the treatment and outcome. We report a rare case of MANEC where the patient presented with abdominal pain and distension. Imaging revealed an ileo colic intussusception with the lead point being a MANEC.

Mixed adenoneuroendocrine carcinoma of cecum: A rare entity

Mixed adenoneuroendocrine carcinoma of cecum (MANEC) was first reported by Cardier in 1924. These tumors are thought to arise from multi-potential stem cells, which have differentiated bidirectionally. Location of the tumor influences the treatment and outcome. We report a rare case of MANEC where the patient presented with abdominal pain and distension. Imaging revealed an ileo colic intussusception with the lead point being a MANEC.

Intussuscepção tipo colíco em bovino provocada por corpo estranho: relato de caso

This report aims to describe a case of colic intussusception, type one, in a crossbreed cow. The clinical findings included dehydration, anorexia, apathy and ruminal hypomotility, besides a swelling in the right flank. On rectal palpation was not observed intestinal distension or presence of liquid, but the animal presented significant discomfort. The feces were blackened, with a putrid odor and presence of mucus. The complete blood count showed only a small increase in segmented neutrophils, without evidence of hemoconcentration or alterations in erythrocytes and leukocytes count. After clinical examination it was decided perform an exploratory laparotomy, where it was possible to observe the presence of fibrin and rupture of intestine. The corrective surgery was performed through bowel resection and subsequent anastomosis. Due to the severity of the case, the animal died one day after surgery. The diagnosis was based on clinical, laboratory and exploratory laparotomy. Keywords: Digestive disorders, intestinal obstruction, exploratory laparotomy.

Colic intussusception due to a chronic granuloma.

Colic intussusception due to a chronic granuloma.

Laparoscopic Reduction of Intussusception

Intussusception is one of the most common diseases in pediatrie surgery. Surgical treatment is indicated if barium or hydrostatic reduction fails. The conventional surgical procedure is associated with complications such as postoperative pain, ileus, and wound infections. We successfully performed laparoscopic reduction of intussusception in 3 cases without complications. In 2 cases of ileo-colic intussusception, we reduced the intussusception intraperitoneally. And in 1 case of ileoileo–colic intussusception, we performed ileal resection using a laparoscopy-assisted technique because of an aberrant pancreas.

AN AGED CASE OF APPENDICEAL MUCOCELE PRESENTING INTUSSUSCEPTION

An 82-year-old woman was admitted to the hospital because of abdominal pain and vomiting. Abdominal physical findings revealed an elastic hard mass of hen's egg size in the right hypochondriac region and a peritoneal irritation sign. Abdominal Roentgenogram showed gaseous distension and niveau formation of the small intestine and abdominal ultrasonogram visualized a multiple concentric rign sign. On Laboratory examinations an inflammatory reaction and a dehydration were noted. Under a diagnosis of intussusception with strangulation ileus, she underwent a laparotomy on the same day. The operative findings showed the colic intussusception led through by appendiceal mucocele, and an ileocecal resection was performed. Histopathologically, it was diagnosed as mucinous cystadenoma of the appendix. Being diagnosed as intussusception caused by appendiceal mucocele using abdominal ultrasonogram and operated on immediately, she achieved a favorable outcome.

A CASE OF SCHOOLAGE COLIC INTUSSUSCEPTION

Childhood intussusception are predominantly ileo-colic intussusception which develops in their childhood and has no correlation to any organic diseases, and colic intussusception is rare. Recentry we experienced such a rare case of colic intussusception. A 13-year-old boy was seen at the department of pediatrics in our Hospital because of abdominal pain and anal bleeding. After close examination the patient was referred to the department with a diagnosis of intussusception. Since it had passed 5 days after the onset of symptom, we did not employ the Barium enema reposition but laparotomy. On laparotomy a colic intussusception was found in the left side abdomen. Intraoperative colonoscopy revealed a polyp in the lead. Maneuver reposition of the invaginated intestine was done, when it was revealed that the polyp existed at the splenic flexure of the colon which the colon adhered to in a v-shape. It was inferred that intussusception might easily recur, and an ischemic portion with dark-red in color was confirmed in the mucosa near the polyp. So a partial excision of the colon was carried out. Histological study of the excised specimen confirmed juvenile polyp.

FOUR ADULT CASES OF INTUSSUSCEPTION

We report 4 adult cases of intussusception. The primary lesions were comprised of one benign tumor and 3 malignant tumors, that is, a lipoma of the cecum, malignant lymphoma of the ileum, transverse colon carcinoma, and sigmoid colon carcinoma. The male-to-female ratio was one to 3. Three malignant patiens were in their seventies. Preoperative freeing of intussusception was succeeded in only one case, and the remained 3 underwent emergency operation. It is said that adult intussusception is found in 5-10% of all cases of intussusception including infant cases, and 80-85% of adult cases commonly have an occult organic disease of the intestine. When classified by the regions, ileocecal intussusception is most frequently found, and colic intussusception has a low rate of incidence.Intussusception due to a lipoma of the caecum is rare.

DOUBLE COLIC INTUSSUSCEPTION

Intussusception in infancy is the chief cause of intestinal obstruction. Its occurrence presents an emergency which must be recognized. Prompt treatment of the condition is necessary to avoid a high mortality. The various types of this condition have received a good deal of attention. Suffice it to say that from 80 to 90 per cent of intestinal intussusceptions are of the ileocecal or the ileocolic variety. Colic intussusception is rare. Because of the rarity, we wish to report a case of double colic intussusception. <h3>REPORT OF A CASE</h3> D. P., a boy of 9 months, was first seen by us on August 3. According to the mother, at 7 a. m. on that day he was awakened by severe pain in the abdomen. He suddenly cried out and drew his legs up over his abdomen. His diaper was soaked with bright red blood. Recurrent attacks of this pain continued to

Perforation of the cecum resulting in invagination of the small bowel into the large intestine with an ileocecal intussusception within a colic intussusception

Perforation of the cecum resulting in invagination of the small bowel into the large intestine with an ileocecal intussusception within a colic intussusception

Acute colic intussusception in a child

Acute colic intussusception in a child