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Updated: Oct 2, 2025
Murine Ileocolic Bowel Resection with Primary Anastomosis
Published on: October 29, 2014
Adult Left Colocolic Intussusception Successfully Managed by Left Hemicolectomy and Primary Anastomosis
Deepak Rajput1, Lena Elizabath David1, Oshin Sharma1
1Department of General Surgery, All India Institute of Medical Sciences, Rishikesh, Dehradun, Uttarakhand, India.
Insights
Adult intussusception, a rare condition, presents unique diagnostic challenges. This case highlights successful surgical resection and primary anastomosis for left-sided colonic intussusception caused by adenocarcinoma.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Abdominal Imaging
Background:
- Intussusception is common in children but rare in adults, often presenting with varied symptoms.
- Adult intussusception poses diagnostic challenges due to its atypical presentations and slower progression.
- Colonic intussusception in adults typically requires surgical intervention, potentially involving bowel resection and anastomosis.
Observation:
- A case of left-sided colocolic intussusception was identified.
- The intussusception was secondary to a tubular adenoma acting as the lead point.
- The patient presented with symptoms requiring emergency surgical evaluation.
Findings:
- Surgical resection and primary anastomosis were successfully performed.
- Pathological examination revealed the lead point to be adenocarcinoma.
- Resected bowel margins were confirmed to be free of tumor, indicating complete removal.
Implications:
- This case underscores the importance of considering intussusception in adult acute abdomen diagnoses.
- Early surgical intervention and complete resection are crucial for favorable outcomes in adult intussusception.
- Accurate pathological diagnosis is essential for guiding further oncological management.
Abstract:
Intussusception, although quite common in children with the classic triad of cramping abdominal pain, bloody diarrhea, and palpable masses, is a rare cause of acute abdomen with myriad presentations in adults. It is defined as the telescoping of a proximal segment of the gastrointestinal (GI) tract, called the intussusceptum, into the lumen of the adjacent distal segment of the GI tract, called intussuscipiens. Due to its different manifestations and time course, adult colonic intussusception often poses a diagnostic challenge for emergency doctors. The treatment of colonic intussusception in adults typically involves surgery, often with bowel resection and anastomosis followed by a defunctioning loop ileostomy. We report a case of left-sided colocolic intussusception secondary to a tubular adenoma as the lead point, which was successfully treated by resection and primary anastomosis. The pathological diagnosis of the lesion was reported as adenocarcinoma and resected bowel margins were found free of the tumor.
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