TY - JOUR
AR - AJSCR-2020-3-103
TI - Ileocecal Intussusception in an Adult Secondary to a Colon Adenocarcinoma: A Case Report and Literature Review
AU - Carlos Hernández, Brito
AU - Martha Audelo , Guzmán
AU - Pedro , Arredondo Ruiz
AU - Álvaro Cuauhtémoc , Sánchez Trujillo
AU - María de los Ángeles , Poumian Madrid
AU - Diego Armando , Álvarez Moreno
AU - Mario Enrique , Álvarez Bojórquez
AU - Francisco Carlos , Cisneros Juvera
JO - American Journal of Surgical Case Reports
PY - 2020
DA - Wed 30, Sep 2020
SN - 2674-5046
DO - http://dx.doi.org/10.31487/j.AJSCR.2020.03.03
UR - https://www.sciencerepository.org/ileocecal-intussusception-in-an-adult-secondary-to-a-colon-adenocarcinoma_AJSCR-2020-3-103 
KW - Intussusception, colonic intussusception, colon cancer, colon tumor, adenocarcinoma of colon
AB - 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.