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A Journal on Surgery

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Chirurgia 2008 December;21(6):369-71

language: Italian

Obstruction due to transverse colo-colonic intussusception

Militerno G. 1, Canonico C. 1, Vitale A. 1, Bucci P. 1, Mignogna R. 2

1 U.O.C. di Chirurgia Generale e P.S. Ospedale ''A. Maresca'' Torre del Greco, Napoli, Italia
2 U.O.C. di Radiologia ASL NA5, Ospedale ''A. Maresca'' Torre del Greco, Napoli, Italia


Adult intussusception is very rare cause of acute intestinal obstruction in adults. We report an unusual cases, a 74-year-old woman with a transverse colo-colonic intussusceptions caused by a malignant sessile polyp. The aetiology, clinical presentation and management of this condition is different in adults as compared to children. Pre-operative diagnosis is usually difficult due to the non specific and intermittent nature of the symptoms. This report stresses the point that intussusceptions in adults may represent an underlying malignancy. The age of the patient and the anatomic location of the intussusceptions provide significant inputs to the aetiology and hence the most appropriate surgical procedure.

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