Case Report
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World J Gastroenterol. Jun 14, 2013; 19(22): 3517-3519
Published online Jun 14, 2013. doi: 10.3748/wjg.v19.i22.3517
A long adult intussusception secondary to transverse colon cancer
Xie-Qun Xu, Tao Hong, Wei Liu, Chao-Ji Zheng, Xiao-Dong He, Bing-Lu Li
Xie-Qun Xu, Tao Hong, Wei Liu, Chao-Ji Zheng, Xiao-Dong He, Bing-Lu Li, Department of General Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100730, China
Author contributions: Xu XQ and Li BL designed the report; Xu XQ, Hong T, Liu W and He XD were attending doctors for the patient; Xu XQ, Li BL and Zheng CJ performed surgical operation; Xu XQ and Hong T organized the report; Xu XQ wrote paper.
Correspondence to: Dr. Bing-Lu Li, Department of General Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, No.1 Shuaifuyuan, Wangfujing, DongCheng District, Beijing 100730, China. libinglu@gmail.com
Telephone: +86-10-69156024 Fax: +86-10-69156024
Received: February 28, 2013
Revised: April 2, 2013
Accepted: April 10, 2013
Published online: June 14, 2013
Processing time: 106 Days and 11.7 Hours
Abstract

The occurrence of adult intussusception arising from colorectal cancer is quite rare. We present the case of a 76-year-old man with sudden abdominal pain and vomiting. Clinical symptoms included severe abdominal distension and tenderness. Computed tomography scan of the abdomen revealed left-sided colocolic intussusception with a lead point. The patient underwent a left hemicolectomy with right transverse colostomy. Pathologic evaluation revealed moderately differentiated adenocarcinoma invading the muscularis propria; the regional lymph nodes were negative for cancer cells. The postoperative course was uneventful.

Keywords: Adult intussusception; Colon cancer; Surgery; Hemicolectomy

Core tip: Intussusception is a common cause of bowel obstruction in pediatric patients, but it is rare in adults and it is often difficult to diagnose. We present the case of a 76-year-old man with sudden abdominal pain and vomiting. The patient underwent a left hemicolectomy with right transverse colostomy. This article reports the complete diagnosis and management of the patient.