Ileocecal Intussusception in an Adult Secondary to a Colon Adenocarcinoma: A Case Report and Literature Review

Author Info

Carlos Hernández Brito Martha Audelo Guzmán Pedro Arredondo Ruiz Álvaro Cuauhtémoc Sánchez Trujillo María de los Ángeles Poumian Madrid Diego Armando Álvarez Moreno Mario Enrique Álvarez Bojórquez Francisco Carlos Cisneros Juvera

Corresponding Author

Carlos Hernández Brito
Department of Oncology and Hematology, Hospital Español de Veracruz, Veracruz, Veracruz, México

A B S T R A C T

Intussusception is defined as telescoping of a proximal segment of the gastrointestinal tract into a distal segment caused by an organic lesion usually on the bowel that functions as a guiding point been pulled towards a distal segment due to normal peristalsis. It is rare in adults, and it represents only 5% of all intussusceptions which for the most part has been reported in the rectosigmoid colon and mostly diagnosed during surgery. We present a patient with intermittent abdominal pain and intermittent mild symptoms of bowel obstruction who reveals in imaging studies an ileocecal intussusception and due to his age, loss of weight, and a palpable tumor, a malignancy as the cause of intussusception was suspected. The histopathological study reported a colon adenocarcinoma. Although it is possible to reduce an intussusception, this should be avoided in adults due to a high malignancy rate and a perforation risk of the piece that might cause tumor cell dissemination. Taking in consideration what has been reported in literature and the colon cancer epidemiology, we should always keep in mind the possibility of a malignant tumor in a colonic intussusception finding, regardless if it is diagnosed during preoperative by imaging studies in a scheduled patient or if it is found during an emergency laparotomy.

Article Info

Article Type

Case Report and Review of the Literature

Publication history

Received: Wed 17, Jun 2020
Accepted: Tue 30, Jun 2020
Published: Wed 30, Sep 2020

Copyright

© 2023 Carlos Hernández Brito. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.AJSCR.2020.03.03