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BMJ Case Reports 2013; doi:10.1136/bcr-2012-006185
  • Case Report

Intussusception in the elderly

  1. Lesley Apthorp2
  1. 1Department of General Surgery, East Sussex Healthcare NHS Trust, St Leonards-on-Sea, East Sussex, UK
  2. 2Department of Radiology, East Sussex Healthcare NHS Trust, St Leonards-on-Sea, East Sussex, UK
  1. Correspondence to Dr Daryl Subramaniam, daryl.subra{at}googlemail.com

Summary

We present the case of an 82-year-old Caucasian lady with a 16-day history of colicky lower abdominal pain and reduced appetite. When presenting to hospital she was haemodynamically stable with no fever. Examination revealed a soft but tender abdomen with normal bowel sounds. No masses or hernias were present. Per-rectal examination revealed an empty rectum. Investigations showed raised inflammatory markers, white cell count 11.9 and C reactive protein 24, in addition to which she had dilated loops of small and large bowel on the abdominal radiograph. The patient underwent an emergency laparotomy where a mass in the descending colon was found to be intussuscepting into the proximal sigmoid colon for which a Hartmanns procedure was performed. Histopathology confirmed a Dukes B T3 N0 Mx adenocarcinoma.

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