Colocolonic intussusception in an adult secondary to an inflammatory polyp of the transverse colon - clinical case

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dc.contributor.authorFalcón-Cancino, L. A.en_US
dc.contributor.authorObregón-Patiño, R.en_US
dc.contributor.authorBarbosa-Guerrero, J.en_US
dc.contributor.authorFlores-López, A. A.en_US
dc.contributor.authorAgustín-Martínez, L. A.en_US
dc.contributor.authorYépez-Vallejo, S.en_US
dc.contributor.authorEchevarría-Fernández, F.en_US
dc.contributor.authorPadrón-Arredondo, G.en_US
dc.contributor.authorVillalobos-Rodríguez, A. L.en_US
dc.date.accessioned2024-09-24T09:14:48Z
dc.date.available2024-09-24T09:14:48Z
dc.date.issued2023-04
dc.description.abstractThere are multiple causes of colocolonic intussusception in adults, such as tumors, autoimmune pathologies, previous abdominal surgeries, and gynecological conditions. Associated complications are small bowel obstruction, ischemia, necrosis, perforation with peritonitis, and sepsis that require urgent attention. A 78-year-old woman who started with colic in the mesogastrium of 5 months of evolution and changes in bowel habits. She went to the emergency room due to intense pain in the mesogastrium. On physical examination, she presented dehydration of the mucous membranes and pale integuments, pain on superficial and deep palpation in the mesogastrium. Admission laboratories: leukocytosis 17,110/ul, neutrophilia 67.9%, hydroelectrolyte imbalance: mild hyponatremia, mild hypochloremia, slightly prolonged coagulation times, normal blood chemistry. Abdominal ultrasound with "pseudokidney" image. Computed tomography reports an image of the introduction of a segment of the transverse colon into a contiguous segment of the same, with data of associated intestinal pneumatosis. Due to the previous findings, an emergency exploratory laparotomy was performed. Invagination of the transverse colon is located, accompanied by dilation of the vessels of the greater omentum; it is reduced manually, an enterotomy is performed and a tumor dependent on the wall is located, for which a 25 cm transverse colon resection, end colostomy and mucous fistula are decided. Pathology report reports inflammatory polyp. In the postoperative period, the patient improved and was discharged. Abdominal pain is the common presentation of intussusception; however, given its rarity in adults, the possibility of missing the finding on abdominal imaging leads to misdiagnosis.en_US
dc.identifier.affiliationsDepartment of General Surgery, Clínica Hospital Mérida-APP del ISSSTE, Facultad de Medicina - Universidad Autónoma de Yucatán, Mérida, Yucatán, Méxicoen_US
dc.identifier.affiliationsDepartment of General Surgery, General Hospital of Playa Del Carmen, Solidaridad, Quintana Roo, Méxicoen_US
dc.identifier.affiliationsDepartment of General Surgery, General Hospital of Playa Del Carmen, Solidaridad, Quintana Roo, Méxicoen_US
dc.identifier.affiliationsDepartment of General Surgery, Clínica Hospital Mérida-APP del ISSSTE, Facultad de Medicina - Universidad Autónoma de Yucatán, Mérida, Yucatán, Méxicoen_US
dc.identifier.affiliationsDepartment of General Surgery, Clínica Hospital Mérida-APP del ISSSTE, Facultad de Medicina - Universidad Autónoma de Yucatán, Mérida, Yucatán, Méxicoen_US
dc.identifier.affiliationsDepartment of General Surgery, General Hospital of Playa Del Carmen, Solidaridad, Quintana Roo, Méxicoen_US
dc.identifier.affiliationsDepartment of General Surgery, General Hospital of Playa Del Carmen, Solidaridad, Quintana Roo, Méxicoen_US
dc.identifier.affiliationsDepartment of General Surgery, General Hospital of Playa Del Carmen, Solidaridad, Quintana Roo, Méxicoen_US
dc.identifier.affiliationsDepartment of Gynecology and Obstetrics, General Hospital of Playa Del Carmen, Solidaridad, Quintana Roo, Méxicoen_US
dc.identifier.citationFalcón-Cancino L. A., Obregón-Patiño R., Barbosa-Guerrero J., Flores-López A. A., Agustín-Martínez L. A., Yépez-Vallejo S., Echevarría-Fernández F., Padrón-Arredondo G., Villalobos-Rodríguez A. L.. Colocolonic intussusception in an adult secondary to an inflammatory polyp of the transverse colon - clinical case. International Journal of Research in Medical Sciences. 2023 Apr; 11(4): 1338-1342en_US
dc.identifier.issn2320-6071
dc.identifier.issn2320-6012
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/233003
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber4en_US
dc.relation.volume11en_US
dc.source.urihttps://doi.org/10.18203/2320-6012.ijrms20230886en_US
dc.subjectAdulten_US
dc.subjectIntussusceptionen_US
dc.subjectColonic polypen_US
dc.subjectUpper abdominal painen_US
dc.subjectUltrasounden_US
dc.titleColocolonic intussusception in an adult secondary to an inflammatory polyp of the transverse colon - clinical caseen_US
dc.typeJournal Articleen_US
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