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Early Postendoscopic Transverse Colo-Colonic Intussusception
Harry He1, Vikashsingh Rambhujun1, Matthew DeMaria1
1Department of Medicine, NYU Winthrop University Hospital, Mineola, New York, USA.
Insights
Intussusception, or bowel telescoping, is rare in adults but can cause obstruction. This case highlights a unique colo-colonic intussusception occurring after a colonoscopy.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Intussusception, the telescoping of one segment of bowel into another, is a common cause of intestinal obstruction in children.
- In adults, intussusception is less frequent, accounting for only about 1% of intestinal obstruction cases, and is often associated with an identifiable underlying cause.
Observation:
- A 54-year-old female presented with colo-colonic intussusception one week post-colonoscopy.
- The patient underwent colonoscopy for suspected inflammatory bowel disease.
Findings:
- This case represents a rare instance of adult colo-colonic intussusception.
- The idiopathic form of intussusception occurs in 8-20% of patients and typically affects the small intestine in adults.
Implications:
- This case underscores the importance of considering intussusception in adult patients presenting with bowel obstruction, even after recent procedures.
- Understanding the varied presentations and management strategies for adult intussusception is crucial for effective patient care.
Abstract:
Intussusception is defined as telescoping of the proximal bowel (intussusceptum) into the lumen of the distal bowel, otherwise called the intussuscipiens. While it is one of the most common causes of intestinal obstruction in children between the ages of 3 months and 6 years, intussusception accounts for about 1% of such cases in adults. Intussusception is idiopathic in 8-20% of patients and most commonly occurs in the small intestines in adults. We describe the unique case of a colo-colonic intussusception in a 54-year-old female patient 1 week after a colonoscopy for suspected inflammatory bowel disease. The discussion focuses on the presentation and management options of intussusception.
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