A Rare Case of Cancer on Intestinal Invagination

Federico E, Nessuno F, Fimiani M, Elmo C, Frusciante A and Pericoli MA
 

Department of Advanced Biomedical Sciences, University of Naples “Federico II”, Italy
C.O.U of Gastroenterology, Umberto I Hospital, Italy
C.O.U of Radiology, Umberto I Hospital, Italy

^*Correspondance to: Emanuela Federico 

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Abstract:

Introduction: Intestinal intussusception is a rare disease in the adult population compared to children. It can manifest clinically with abdominal pain. We will discuss a case of ileocolic intussusception sustained by adenocarcinoma of the transverse colon in a young woman. Case Report: A 30-year-old woman visits the emergency room for abdominal pain. The direct abdominal X-ray and abdominal ultrasound raise the suspicion of mechanical occlusion, highlighting signs of hydro-gas overdistention pertaining to the small mesentery on X-ray and a hyperechoic mass with a "target" appearance in the mesogastric region on ultrasound. CT abdomen without and with intravenous contrast reveals an ileocolic intussusception extending up to the distal transverse colon with lymphadenopathy. A transit with gastrografin via rectal probe is performed as a diagnostic and therapeutic procedure without however resolution. The colonoscopy identified a colonic neoformation from adenocarcinoma, for which the patient underwent exploratory laparoscopy and subsequently intestinal resection. The analysis of the surgical specimen confirmed the neoplastic nature of the lesion. Conclusion: Our experience shows that intussusception, despite the non-specific symptoms, can be diagnosed immediately with an abdominal CT scan without and with intravenous contrast before performing endoscopic and/or surgical tests.

Keywords:

Intussusception; Colonic adenocarcinoma; Tomography

Cite the Article:

Federico E, Nessuno F, Fimiani M, Elmo C, Frusciante A, Pericoli MA. A Rare Case of Cancer on Intestinal Invagination. Clin Case Rep Int. 2023; 7: 1638.