Adult Left Colocolic Intussusception Successfully Managed by Left Hemicolectomy and Primary Anastomosis.
Deepak RajputLena Elizabath DavidOshin SharmaAmit GuptaRohik Anjum T SiddeekRavi Hari PhulwarePublished in: Surgery journal (New York, N.Y.) (2022)
Intussusception, although quite common in children with the classic triad of cramping abdominal pain, bloody diarrhea, and palpable masses, is a rare cause of acute abdomen with myriad presentations in adults. It is defined as the telescoping of a proximal segment of the gastrointestinal (GI) tract, called the intussusceptum, into the lumen of the adjacent distal segment of the GI tract, called intussuscipiens. Due to its different manifestations and time course, adult colonic intussusception often poses a diagnostic challenge for emergency doctors. The treatment of colonic intussusception in adults typically involves surgery, often with bowel resection and anastomosis followed by a defunctioning loop ileostomy. We report a case of left-sided colocolic intussusception secondary to a tubular adenoma as the lead point, which was successfully treated by resection and primary anastomosis. The pathological diagnosis of the lesion was reported as adenocarcinoma and resected bowel margins were found free of the tumor.
Keyphrases
- abdominal pain
- minimally invasive
- emergency department
- healthcare
- public health
- squamous cell carcinoma
- young adults
- liver failure
- lymph node
- coronary artery bypass
- ulcerative colitis
- magnetic resonance imaging
- drug induced
- hepatitis b virus
- magnetic resonance
- contrast enhanced
- aortic dissection
- replacement therapy
- acute respiratory distress syndrome
- small bowel