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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
PubMed

Insights

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.
Keywords:
AdultColonEndoscopic mucosal resectionEndoscopyIntussusception

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