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Updated: Jun 30, 2025
08:49
Murine Ileocolic Bowel Resection with Primary Anastomosis
Published on: October 29, 2014
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Colonic intussusception after endoscopic mucosal resection successfully managed by endoscopic procedure.
Keiichi Hashiguchi1,2, Shoichiro Mine3, Junya Shiota4
1Department of Endoscopy, Nagasaki University Hospital, 1-7-1, Sakamoto, Nagasaki, Nagasaki, 852-8501, Japan. khashiguchi@nagasaki-u.ac.jp.
Clinical Journal of Gastroenterology
|March 20, 2024
Summary
Adult-onset intussusception is rare after colonoscopy. Endoscopic management can successfully treat this condition, especially when mucosal necrosis is absent.
Area of Science:
- Gastroenterology
- Colorectal Surgery
Background:
- Adult-onset intussusception is an uncommon condition.
- Colonoscopy, particularly endoscopic mucosal resection (EMR), is a rare but potential precipitating factor.
Observation:
- A 78-year-old male presented with abdominal pain and elevated inflammatory markers post-EMR.
- Computed tomography (CT) identified a colocolonic intussusception at the hepatic flexure.
- Emergency colonoscopy revealed swollen, intact mucosa distal to the EMR site.
Findings:
- The intussusception was successfully reduced using an endoscopic approach.
- A transanal drainage tube was inserted endoscopically to prevent recurrence.
- Post-intervention imaging confirmed the release of the intussusception.
Implications:
- This case highlights the importance of considering intussusception in patients with post-colonoscopy abdominal pain.
- Endoscopic management is a viable option for intussusception when mucosal necrosis is ruled out.
- Early diagnosis and endoscopic intervention can prevent surgical complications.
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