Sigmoid colocolic intussusception
Updates to Study Attributes
Spiraling of sigmoid mesocolon with herniation of mid sigmoidmidsigmoid colon loop and mesentery into the distal sigmoid colon with a heterogeneouly enhancingheterogeneously-enhancing poorly defined-defined mass lesion seen in the intususscepiensintussuscipiens. Surrounding four to five round sigmoid mesocolon enhancing subcentimetric lymph nodes seen. Loaded proximal entire large bowel with faecalisation of contents in the terminal ileum. No features of bowel ischemiaischaemia. Mesenteric vessels are patent. Incidental note of low density right adrenal nodule, most likely adenoma.
Updates to Case Attributes
The most common site of intusssusceptionintussusception is ileocolic and colocolic, typically identified in pediatricthe paediatric population. It is rare in adults more so, especially unusual in the left colon. And whenWhen it does happen, it is usually oversecondary to a bowel lipoma or, neoplasm, or a lymph nodal mass which acts as a lead point facilitating intussusception. Patients tend to present with severesevere abdominal pain, and frank obstruction with bilious vomiting. In this case, a clinical mass was felt in the left iliac fossa and per rectal examination was negative. This needs immediate intimationreferral to referrala physician for reduction to prevent bowel ischemiaischaemia, followed by a sigmoidoscopy for histopathological correlation.
-<p>The most common site of intusssusception is ileocolic and colocolic typically identified in pediatric population. It is rare in adults more so in left colon. And when it does happen, it is usually over a bowel lipoma or neoplasm or a lymph nodal mass which acts as a lead point facilitating intussusception. Patients tend to present with severe abdominal pain, frank obstruction with bilious vomiting. In this case, a clinical mass was felt in left iliac fossa and per rectal examination was negative. This needs immediate intimation to referral physician for reduction to prevent bowel ischemia, followed by a sigmoidoscopy for histopathological correlation. </p>- +<p>The most common site of intussusception is ileocolic and colocolic, typically identified in the paediatric population. It is rare in adults, especially unusual in the left colon. When it does happen, it is usually secondary to a bowel lipoma, neoplasm, or a nodal mass which acts as a lead point facilitating intussusception. Patients tend to present with severe abdominal pain and frank obstruction with bilious vomiting. In this case, a clinical mass was felt in the left iliac fossa and per rectal examination was negative. This needs immediate referral to a physician for reduction to prevent bowel ischaemia, followed by a sigmoidoscopy for histopathological correlation. </p>
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