Adult sigmoid intussusception as a rare presentation of advanced adenocarcinoma: a case report

Submitted: May 24, 2023
Accepted: June 12, 2023
Published: June 27, 2023
Abstract Views: 249
PDF: 88
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Authors

  • Greta Bortolin greta.bortolin01@universitadipavia.it General Surgery Unit, Fondazione IRCCS Policlinico San Matteo, Pavia; General Surgery Unit, Ospedale Unico Plurisede ASL VCO, Domodossola and Verbania, Italy.
  • Matteo Magnoli General Surgery Unit, Ospedale Unico Plurisede ASL VCO, Domodossola and Verbania, Italy.
  • Francesco Calabrese General Surgery Unit, Ospedale Unico Plurisede ASL VCO, Domodossola and Verbania, Italy.
  • Gabriele Bocca General Surgery Unit, Ospedale Unico Plurisede ASL VCO, Domodossola and Verbania, Italy.
  • Sandro Zonta General Surgery Unit, Ospedale Unico Plurisede ASL VCO, Domodossola and Verbania, Italy.

Adult bowel intussusception is a rare clinical entity resulting in 1-5% of intestinal obstructions. It occurs more often in the small intestine and it’s secondary to a pathologic condition in 90% of cases. Its clinical picture can be unspecific, and the diagnosis is often made intraoperatively. We describe an uncommon clinical presentation of this rare clinical entity. A 69-year-old female presented in our emergency room with severe abdominal pain and rectorrhagia. The abdomen computed tomography scan revealed a colonic intussusception and a mass suggestive of a malignancy, as confirmed by rectosigmoidoscopy. The patient underwent the Hartmann procedure. A histopathological examination revealed an advanced colorectal adenocarcinoma as the lead point of the intussusception. Adult sigmoid intussusception is a rare cause of bowel obstruction, and it is often cancer-related. Symptoms can be nonspecific, and diagnosis is best made by CT imaging and endoscopic investigations which allow for planning surgery.

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Citations

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How to Cite

Bortolin, G., Magnoli, M., Calabrese, F., Bocca, G., & Zonta, S. (2023). Adult sigmoid intussusception as a rare presentation of advanced adenocarcinoma: a case report. Case Reports in Emergency Surgery and Trauma, 1(1). https://doi.org/10.4081/crest.2023.14