Colorectal intussusception due to adenocarcinoma presenting as acute bowel obstruction in an adult

Alexis Roditis; Salma Jendoubi; Pierre Platevoet; Adrien Le Fouler; Nicolas Sellier

doi:10.1016/j.radcr.2021.02.021

Colorectal intussusception due to adenocarcinoma presenting as acute bowel obstruction in an adult

Radiol Case Rep. 2021 Feb 26;16(5):1103-1106. doi: 10.1016/j.radcr.2021.02.021. eCollection 2021 May.

Authors

Alexis Roditis¹, Salma Jendoubi¹, Pierre Platevoet², Adrien Le Fouler², Nicolas Sellier¹

Affiliations

¹ Department of Radiology, Hôpital Jean Verdier, APHP, Bondy, France.
² Department of General Surgery, Hôpital Avicenne, APHP, Bobigny, France.

Abstract

Colorectal intussusception is a rare entity in adults presenting an acute abdomen. The authors present a case of a 73-year-old female who presented with an acute large bowel obstruction. Abdominal computed tomography (CT) scan reveals a colorectal intussusception with a colonic distension upstream. Laparoscopy founds out a stenotic tumor on colorectal junction corresponding with an adenocarcinoma on histopathological exam. CT scan is the most specific diagnostic test for intussusception and is superior to ultrasonography and endoscopy and thus should be performed preferentially.

Keywords: Colorectal adenocarcinoma; Intussusception; Invagination; Occlusive syndrome.

Publication types

Case Reports