Related Experiment Video
Updated: Jul 18, 2025
08:49
Murine Ileocolic Bowel Resection with Primary Anastomosis
Published on: October 29, 2014
16.5K
A rare case of sigmoid intussusception. A case report
Sarada Ganesan1, Joseph Xavier1
1Department of Surgery, Wollongong Hospital, Wollongong, New South Wales, Australia.
International Journal of Surgery Case Reports
|August 23, 2023
Summary
Colorectal intussusception, though rare, can present as malignant. Early diagnosis via imaging and prompt surgical resection are key for effective treatment of this challenging colorectal cancer presentation.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Diagnostic Imaging
Background:
- Colorectal intussusception is a rare condition, often posing diagnostic challenges, particularly in identifying malignancy.
- Limited research exists due to its infrequent occurrence.
Observation:
- A 69-year-old male presented with lower abdominal pain and irreducible rectal prolapse with papillomatous changes.
- Imaging (CT and MRI) revealed rectal prolapse with intussusception at the S2-S3 level, suspicious for carcinoma.
- Histopathology confirmed sigmoid and descending colon adenocarcinoma with mucinous differentiation (pT3N0).
Findings:
- Diagnostic imaging, including CT and MRI, aids in the early identification of colorectal intussusception.
- While colonoscopy can be utilized, pre-operative diagnosis can be difficult.
- Routine surgical resection is the recommended treatment for suspected malignant colorectal intussusception.
Implications:
- Prompt surgical intervention is crucial for managing colorectal cancer presenting as intussusception.
- Despite its rarity, timely diagnosis and treatment can lead to favorable outcomes.
- Multidisciplinary team discussion is vital for treatment planning, including adjuvant therapy decisions.
Related Concept Videos
01:21Inflammatory Bowel Disease V: Surgical Management
168
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
168
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
115
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
115
01:25Assessment of the Rectum and Anus
276
Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
276
01:23Anatomy of the Intestines
72.4K
Although digestion of proteins, carbohydrates, and lipids may begin in the stomach, it is completed in the intestine. The absorption of nutrients, water, and electrolytes from food and drink also occurs in the intestine. The intestines can be divided into two structurally distinct organs—the small and large intestines.
Small Intestines
The small intestine is an ~7 meter-long tube with an inner diameter of just 2.5 cm. Since most nutrients are absorbed here, the inner lining of the...
Small Intestines
The small intestine is an ~7 meter-long tube with an inner diameter of just 2.5 cm. Since most nutrients are absorbed here, the inner lining of the...
72.4K
01:26Esophageal Strictures-II: Clinical Features and Management
103
Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
103
01:30Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
188
Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are:
Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are:
188