ArticleJournal of surgical case reports2026
Adult colonic intussusception secondary to caecal malignancy: diagnostic and temporary therapeutic role of contrast enema.
Article in Journal of surgical case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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4 authors.
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Abstract
Adult colonic intussusception is rare and often associated with malignancy; however, the underlying lead point may remain occult on initial imaging. We report a 75-year-old woman presenting with two weeks of right lower quadrant pain, initially managed as a urinary tract infection. Computed tomography (CT) demonstrated colonic intussusception without bowel obstruction or a clearly identifiable lead point. Given the patient's stable condition, non-operative reduction was attempted. A CT-guided water-soluble contrast enema resulted in resolution of the intussusception and revealed a caecal mass not identified on initial imaging. The patient subsequently underwent planned surgical resection for caecal adenocarcinoma. This case highlights the diagnostic value and potential temporary therapeutic role of contrast enema in selected adult patients, facilitating identification of an underlying pathology without delaying definitive treatment.
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