Double ileo-ceco-colic invagination due to right colon carcinoma: clinical presentation and management

G. Patrizi, G. Di Rocco, D. Giannotti, G. Casella, J.R. Casella Mariolo, M.G. Bernieri, A. Redler

Department of Surgical Sciences and Department of Radiology, Oncology and Pathology; University of Rome “Sapienza”, Rome, Italy. giorgiodirocco@virgilio.it

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• Gastroenterology

Intestinal intussusceptions represent a rare cause of intestinal obstruction in adults (about 1% of intestinal obstructions). The principle causes are benign or malignant tumors. In adults, the most frequent localizations of intestinal invaginations are the ileo-cecal segment, ileum and colon as exclusive localization.

We report the case of a 56 year-old Caucasian male admitted in our Department complaining with diffuse abdominal pain and severe anemia. The colonoscopy revealed a vegetant, stenosing and ulcerated mass in the hepatic flexure. The computed tomography suggested the additional diagnosis of intestinal intussusception with no evidence of intestinal obstruction. In our experience, surgery is always indicated for the treatment of intussusceptions in adults, especially for the almost constant underlying neoplasm.

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