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A Rare Case of Adult Colonic Intussusception from Benign Etiology

Tagore Sunkara1, Megan E Caughey2, Andrea Culliford3

  • 1Internal Medicine/gastroenterology, The Brooklyn Hospital Center, Affiliate of the Mount Sinai Hospital. 121 Dekalb Avenue, Brooklyn, Ny 11201.

Cureus
|March 14, 2018
PubMed

Insights

Intussusception, where one bowel segment tunnels into another, is rare in adults. This case highlights an unusual adult colonic intussusception caused by a benign condition, challenging typical clinical expectations.

Area of Science:

  • Gastroenterology
  • Clinical Case Reports
  • Surgical Pathology

Background:

  • Intussusception is defined as the telescoping of one segment of the intestine into an adjacent segment.
  • While commonly seen in pediatric patients, it is an infrequent occurrence in adult populations.
  • Adult intussusception often raises concern for underlying malignancy.

Observation:

  • A case report of a 78-year-old male patient presenting with colonic intussusception is detailed.
  • The intussusception was found to be caused by a benign lead point pathology.
  • This presentation is atypical for adult intussusception, which frequently involves malignant causes.

Findings:

  • The patient's colonic intussusception was successfully managed.
  • Histopathological examination confirmed a benign etiology for the lead point.
  • This finding is contrary to the common association of adult intussusception with malignancy.

Implications:

  • This case underscores the importance of considering benign etiologies in adult colonic intussusception.
  • It challenges the conventional understanding that adult intussusception is predominantly linked to cancer.
  • Further investigation into rare causes of adult intussusception is warranted.

Keywords:
adult intussusceptionbowel obstructionintussusception

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