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,
Ileocecal Intussusception in an Adult Secondary to a Colon Adenocarcinoma: A Case Report and Literature Review
American Journal of Surgical Case Reports
2020
2674-5046
http://dx.doi.org/10.31487/j.AJSCR.2020.03.03
https://www.sciencerepository.org/ileocecal-intussusception-in-an-adult-secondary-to-a-colon-adenocarcinoma_AJSCR-2020-3-103 
Abstract: 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. Keywords: Intussusception, colonic intussusception, colon cancer, colon tumor, adenocarcinoma of colon