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Scholars Journal of Medical Case Reports | Volume-11 | Issue-06
A Colic Adenocarcinoma as the Primary Cause of Colo-Colic Intussusception: A Rare Case of Obstruction
I. Azzahiri, M. Biadi, B. Slioui, N. Hamoune, A. Mouhsine, M. Atmane, A. Rhanmi, B. Jouabri, M. Lahkim, A. Elkahder, R. El Barni
Published: June 23, 2023 | 40 72
DOI: 10.36347/sjmcr.2023.v11i06.060
Pages: 1277-1280
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Abstract
This article discusses the case of a 70-year-old woman who presented with abdominal pain and vomiting, and was diagnosed with colonic-colonic intussusception caused by a tumor. Colonic intussusception is a rare cause of acute abdomen in adults, and malignant tumors are the most frequent cause of colonic intussusception. The article highlights the importance of imaging, specifically abdominal CT scans, in diagnosing and managing this condition. The CT scan can confirm the site of intussusception and specify the severity signs, and it is more specific than ultrasound and endoscopy. The article also describes the different intussusception patterns seen on CT scans and their significance. Early diagnosis is important in preventing complications such as infarction and perforation. The authors suggest that colonic intussusception may be the result of infiltration of the colonic wall musculature by the malignant tumor despite the colon being devoid of peristaltic activity. Overall, the article emphasizes the importance of a combination of clinical and radiologic data in diagnosing and managing colonic intussusception caused by tumors.