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Case report
A rare case of adult colocolonic intussusception of the descending colon
  1. Randa Taher1,
  2. Yael Kopelman2,
  3. Aurwa Younis1 and
  4. Daniel Sheffer1
  1. 1 General Surgery, Hillel Yaffe Medical Center, Hadera, Israel
  2. 2 Gastroenterology, Hillel Yaffe Medical Center, Hadera, Israel
  1. Correspondence to Professor Yael Kopelman; yaelk{at}hy.health.gov.il

Abstract

A 28-year-old woman approached the emergency department because of recent diffuse abdominal pain and diarrhoea. Peritoneal signs on physical exam led to abdominal CT scan which demonstrated colonic obstruction, resulting from colocolonic intussusception of the descending colon. An exploratory laparotomy confirmed the diagnosis as well as the aetiology of a 4 cm intraluminal polyp. Left hemicolectomy with primary anastomosis was performed. The final pathology revealed a tubulovillous adenoma with multiple foci of high-grade dysplasia. Intussusception is a rare cause for colonic obstruction, and ~90% of cases in adults are secondary to an anatomical or pathological condition. Therefore, we recommend oncological resection of the affected part.

  • colon cancer
  • gastrointestinal surgery
  • surgical oncology
  • general surgery
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Footnotes

  • Contributors RT wrote the paper. YK reviewed the paper. AY managed the case and operated on the patient. DS is a cowriter of the paper.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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