INTESTINAL OCCLUSION DUE TO INTUSSUSCEPTION IN THE ASCENDING COLON
Abstract:
Intussusception is a particular form of intestinal occlusion characterized by the
telescoping of a proximal intestinal segment into the distal one. Intussusception involves the existence of
an extremely mobile intestinal segment due to a long mesentery or a mobile endoluminal tumour that
tracts the intestinal wall. The pathology is quite common in infants - up to 2/1000, while in adults it is
extremely rare, with a non-specific symptomatology.(1) We present the case of a 42-year-old patient,
known for lipomatosis, presenting in the Emergency Room with clinical symptomatology of intestinal
occlusion. Following clinical and paraclinical investigations, surgical intervention for colic
intussusception was performed. A tumour was found at the level of the intussuscepted caecum up to the
transversal colon, which at the histopathological examination turned out to be a colic parietal lipoma,
which had numerous polyps with different degrees of dysplasia on the adjacent mucosa. Right
hemicolectomy was performed with favourable postoperative evolution and discharge at 6 days
postoperatively
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