Transient Descending Colocolonic Intussusception Due to a Large Fecaloma in an Adult

Intussusception typically occurs in infants and children, with adults representing 5% of cases. A 53-year-old African American woman presented with lower abdominal pain and tenderness. Computed tomography of the abdomen and pelvis demonstrated a 3.5 cm colocolonic intussusception in the descending c...

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Bibliographic Details
Published in:ACG case reports journal 2017-08, Vol.4 (1), p.e94
Main Authors: Khan, Zubair, Darr, Umar, Renno, Anas, Alkully, Turki, Rafiq, Ehsan, Sodeman, Thomas
Format: Article
Language:English
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Case Report
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Summary:Intussusception typically occurs in infants and children, with adults representing 5% of cases. A 53-year-old African American woman presented with lower abdominal pain and tenderness. Computed tomography of the abdomen and pelvis demonstrated a 3.5 cm colocolonic intussusception in the descending colon. Emergent colonoscopy found solid stool in the mid descending colon. Water-soluble rectal enema showed a filling defect in the mid descending colon. Repeat colonoscopy demonstrated presence of a large fecaloma in left colon. Laxatives were initiated, and abdominal pain subsided. To our knowledge, this is the first report of colocolonic intussusception secondary to fecaloma.
ISSN:2326-3253
2326-3253
DOI:10.14309/crj.2017.94