Published online Jun 14, 2013. doi: 10.3748/wjg.v19.i22.3517
Revised: April 2, 2013
Accepted: April 10, 2013
Published online: June 14, 2013
The occurrence of adult intussusception arising from colorectal cancer is quite rare. We present the case of a 76-year-old man with sudden abdominal pain and vomiting. Clinical symptoms included severe abdominal distension and tenderness. Computed tomography scan of the abdomen revealed left-sided colocolic intussusception with a lead point. The patient underwent a left hemicolectomy with right transverse colostomy. Pathologic evaluation revealed moderately differentiated adenocarcinoma invading the muscularis propria; the regional lymph nodes were negative for cancer cells. The postoperative course was uneventful.
Core tip: Intussusception is a common cause of bowel obstruction in pediatric patients, but it is rare in adults and it is often difficult to diagnose. We present the case of a 76-year-old man with sudden abdominal pain and vomiting. The patient underwent a left hemicolectomy with right transverse colostomy. This article reports the complete diagnosis and management of the patient.