Ileocolonic Intussusception Secondary to Colon Cancer: A Rare Cause of Abdominal Pain In Adults

TL;DR

A rare case of adult abdominal pain caused by colon cancer leading to ileocolonic intussusception is presented and treated with surgery.

Contribution

Highlights a rare cause of adult abdominal pain and demonstrates the role of CT and robotic surgery in diagnosis and treatment.

Findings

Ileocolonic intussusception in an adult was diagnosed using CT imaging.

Robotic resection of the right colon revealed cecal adenocarcinoma as the underlying cause.

Surgical resection is effective for treating intussusception due to malignant pathology.

Abstract

Intussusception, defined as the telescoping of one segment of the gastrointestinal tract into an adjacent one, is a rare cause of abdominal pain in the adult population due to underlying benign or malignant pathology. With the liberal use of CT in the evaluation of patients with abdominal pain, the diagnosis became more reliable. Resection of the bowel segment is the recommended treatment in most cases. We are presenting the case of a 76-year-old male patient who presented with a three-week history of abdominal pain and diarrhea. The evaluation was consistent with ileocolic intussusception. Robotic resection of the right colon was performed. Pathology revealed poorly differentiated adenocarcinoma of the cecum as the underlying pathology.

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