Left sided reverse colocolic intussusception secondary to malignant polypoidal growth: a rare clinical entity

Mayuri A. Kamble, Anand P. Thawait, Ashok T. Kamble

Abstract


Intussusception is telescoping of a segment of gastrointestinal tract into an adjacent one (mostly distal, sometimes proximal). Though common in children in the first two years of life (90-95%), it is uncommon in adults (5-10%). Adult intussusception is most commonly ileocolic, ileo-ileocolic, ileoileal, colocolic, multiple and retrograde. While benign tumours account for most of the small intestine intussusceptions, malignant tumours account for 50% of colocolic intussusception. Adult colocolic intussusception is very rare on left side of colon, especially at splenic flexure. It is rarest to find a reverse intussusception of left sided colon with descending colon intussuscepting into transverse colon with adenocarcinoma as the lead point. Only 25 cases of retrograde intussusception of colon have been reported. This patient had oncological resection of the colon.


Keywords


Reverse, Colocolic, Intussusception, Malignant

Full Text:

PDF

References


Joseph T, Desai AL. Retrograde intussusception of sigmoid colon. J R Soc Med. 2004;97(3):127-8.

Baba M, Higaki N, Ishida M, Kawasaki H. A case of retrograde intussusception due to semipedunculated polypiform adenocarcinoma in tubular adenoma of the sigmoid colon in an adult. Jpn J Gastroenterol Surg. 2001;34:282-6.

Sinan YOL, Erdal B, Bostanci, Ozogul Y, Akoglu M. Extensive adult colocolic intussusception from the ascending colon to the sigmoid colon. Turk J Gastroenterol. 2004;15(3):201-3.

Stuhenhord WT, Thorbjarnarson B. Intussusception in adults. Ann Surg. 1970;172(2):306-10.

Karamercan A, Kurukahvecioglu O, Yilmaz TU, Aygencel G, AytaƧ B, Sare M. Adult ileal intussusception: an unusual emergency condition. Adv Ther. 2006;23(1):163-8.

Reymond RD. The mechanism of intussusception: a theoretical analysis of the phenomenon. Br J Radiol. 1972;45(529):1-7.

Huang BY, Warshauer DM. Adult intussusception: diagnosis and clinical relevance. Radiol Clin N Am. 2003;41(6):1137-51.

Reijnen HAM, Joosten HJ, de Boer HH. Diagnosis and treatment of adult intussusception. Am J Surg. 1989;158(1):25-8.

Agha FP. Intussusception in adults. Am J Roentgenol. 1986;146(3):527-31.

Coleman MJ, Hugh TB, May RE, Jensen MJ. Intussusception in the adult. Aust NZJ Surg. 1981;51(2):179-80.

Nagorney DM, Sarr MG, McIlrath DC. Surgical management of intussusception in the adult. Ann Surg. 1981;193(2):230-6.

Chiba T, Suzuki S, Sato M, Tsukahara M, Saito S, Inomata M et al. A case of a lipoma in the colon complicated by intussusception. Eur J Gastroenterol Hepatol. 2002;14:701-2.

Gayer G, Apter S, Hofmann C, Nass S, Amitai M, Zissin R, Hertz M. Intussusception in adults: CT diagnosis. Clin Radiol. 1998;53(1):53-7.

Merine D, Fishman EK, Jones B, Siegelman SS. Enteroenteric intussusception: CT findings in nine patients. Am J Roentgenol. 1987;148(6):1129-32.

Lorenzi M, Iroatulam AJ, Vernillo R, Banducci T, Mancini S, Tiribocchi A, Ferrar FS, Mancini S. Adult colonic intussusception caused by malignant tumor of the transverse colon. Am Surg. 1999;65(1):11-4.