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Intussusception caused by an inverted colonic diverticulum: a case report
Bei Zhang1, Jiping Wang1, Xiaoguang Li2
1Department of Radiology, First Hospital of Jilin University, Changchun, China.
Journal of Medical Case Reports
|April 28, 2018
Summary
Intussusception in adults is rare, especially when caused by an inverted colonic diverticulum. This case highlights a large inverted colonic diverticulum leading to intussusception and intestinal necrosis.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Intussusception is uncommon in adults, with diverticula being a rare cause.
- This study focuses on a specific case of intussusception attributed to an inverted colonic diverticulum.
Observation:
- A 62-year-old woman presented with symptoms including abdominal pain, vomiting, and bloody stool.
- Computed tomography revealed intussusception, later confirmed by pathology.
- The cause was identified as a large inverted colonic diverticulum near the ileocecal valve.
Findings:
- The patient was diagnosed with intussusception and intestinal necrosis secondary to an inverted colonic diverticulum.
- The inverted colonic diverticulum was unusually large, a rare finding in medical literature.
Implications:
- Inverted colonic diverticula, though rare, should be considered in the differential diagnosis of adult intussusception.
- This case underscores the importance of considering unusual etiologies for gastrointestinal emergencies.
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