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Year : 2015  |  Volume : 14  |  Issue : 2  |  Page : 73-76

Secondary intussusception due to caecal tumor; A case report and review of the literature

Correspondence Address:
Najeeb S Jabbo
Department of Surgery, College of Medicine, Al-Mustansiriya University, Baghdad

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Source of Support: None, Conflict of Interest: None

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Acute intussusceptions in adults is a rare condition. In children, intussusceptions is often idiopathic in nature, while in adults, a cause is identified in up to 90% of cases. Malignant tumors are reported to be the cause of colon intussusceptions in 65% to 87% of cases. The caecum and sigmoid colon can be regarded as mobile organs which are affected more by intussusceptions than the descending colon due to its attachment to the retroperitoneum. Symptoms at presentation are usually nonspecific. Computed tomography is considered to be the most reliable investigation in making a preoperative diagnosis. A 60-year-old man presented with a two months history of recurrent attacks of severe colicky abdominal pain. A caecal tumor was diagnosed by CT-scan of the abdomen. The intussusception was diagnosed by barium enema. The patient was managed surgically. The presentation, diagnosis and treatment are discussed with review of the literature.

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