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CC BY 4.0 · Surg J (N Y) 2022; 08(01): e65-e68
DOI: 10.1055/s-0042-1742751
Case Report

Adult Left Colocolic Intussusception Successfully Managed by Left Hemicolectomy and Primary Anastomosis

Deepak Rajput 
1   Department of General Surgery, All India Institute of Medical Sciences, Rishikesh, Dehradun, Uttarakhand, India
,
Lena Elizabath David 
1   Department of General Surgery, All India Institute of Medical Sciences, Rishikesh, Dehradun, Uttarakhand, India
,
Oshin Sharma 
1   Department of General Surgery, All India Institute of Medical Sciences, Rishikesh, Dehradun, Uttarakhand, India
,
Amit Gupta 
1   Department of General Surgery, All India Institute of Medical Sciences, Rishikesh, Dehradun, Uttarakhand, India
,
Rohik Anjum T. Siddeek 
1   Department of General Surgery, All India Institute of Medical Sciences, Rishikesh, Dehradun, Uttarakhand, India
,
Ravi Hari Phulware 
2   Department of Pathology, All India Institute of Medical Sciences, Rishikesh, Dehradun, Uttarakhand, India
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Abstract

Intussusception, although quite common in children with the classic triad of cramping abdominal pain, bloody diarrhea, and palpable masses, is a rare cause of acute abdomen with myriad presentations in adults. It is defined as the telescoping of a proximal segment of the gastrointestinal (GI) tract, called the intussusceptum, into the lumen of the adjacent distal segment of the GI tract, called intussuscipiens. Due to its different manifestations and time course, adult colonic intussusception often poses a diagnostic challenge for emergency doctors. The treatment of colonic intussusception in adults typically involves surgery, often with bowel resection and anastomosis followed by a defunctioning loop ileostomy. We report a case of left-sided colocolic intussusception secondary to a tubular adenoma as the lead point, which was successfully treated by resection and primary anastomosis. The pathological diagnosis of the lesion was reported as adenocarcinoma and resected bowel margins were found free of the tumor.

Keywords

intussusception - intestinal obstruction - colonic

Ethical Approval

We wrote this case report in accordance with the Declaration of Helsinki and the Institutional Ethical Committee of All India Institute of Medical Sciences Rishikesh, Dehradun, Uttarakhand, India.


Guarantor

Deepak Rajput is the guarantor.


Authors' Contribution

D.R., L.E.D., and O.S. drafted the case report. All authors were involved in the management of the patient and in the conception of the manuscript. All authors have seen and approved the final version of the manuscript being submitted and also, all authors fulfill the COPE (Committee on Publication Ethics) requirements for authorship.


Prior Presentation

None.


Informed Consent

Written informed consent was obtained from the patient for his anonymized information and images to be published in this article.




Publication History

Received: 03 December 2021

Accepted: 11 January 2022

Article published online:
18 February 2022

© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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