Cystic colon duplication causing intussusception in a 25-year-old man: report of a case and review of the literature

BMC Surgery

Case Report

Mert Erkan¹  Jörg Kleeff¹  Carolin Reiser-Erkan¹  Jörg Nährig²  Erika Ulbrich³ 

[1] Department of General Surgery, Klinikum rechts der Isar, Technische Universität München, Ismaninger Strasse 22, 81675, Munich, Germany;Department of Pathology, Klinikum rechts der Isar, Technische Universität München, Ismaninger Strasse 22, 81675, Munich, Germany;Department of Radiology, Klinikum rechts der Isar, Technische Universität München, Ismaninger Strasse 22, 81675, Munich, Germany;

关键词: Intussusception;    Acute Abdomen;    Acute Intestinal Obstruction;    Adult Intussusception;    Punctum Maximum;   

DOI  :  10.1186/1471-2482-10-19

 received in 2009-08-31, accepted in 2010-06-23,  发布年份 2010

来源: Springer

【 摘 要 】

BackgroundColonic intussusception is a rare congenital abnormality, mostly manifesting before the age of two with abdominal pain and acute intestinal obstruction with or without bleeding. In adults it may occur idiopathically or due to an intraluminal tumor mass.Case presentationA 25-year-old man presented with an acute abdomen and severe crampy abdominal pain. The clinical picture mimicked acute appendicitis. Transabdominal ultrasound examination revealed a 5 cm circular mass in the right upper abdomen. The ensuing computed tomography suggested an intussusception in the ascending colon. Intraoperatively, no full thickness invagination was detected. Due to a hard, intraluminal tumor a standard right hemicolectomy with ileotransversostomy was performed. The histopathological analysis revealed a cystic colon duplication leading to mucosal invagination and obstruction.ConclusionsIn adults, colon intussusception is a rare event causing approximately 1% of all acute intestinal obstructions. Unlike its preferentially nonsurgical management in children, a bowel intussusception in adults should be operated because an organic, often malignant lesion is present in most cases.

【 授权许可】

Unknown   
© Reiser-Erkan et al; licensee BioMed Central Ltd. 2010. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.