# Complication of colo-colic intussusception following colonoscopy: A case report and review of literature

## TL;DR

A rare case of colo-colic intussusception following colonoscopy is reported, emphasizing the need for vigilance in post-procedural monitoring.

## Contribution

This case report adds to the limited literature on colonic intussusception as a rare complication of colonoscopy.

## Key findings

- Colo-colic intussusception occurred after endoscopic polyp removal in a 58-year-old female.
- Conservative management with repeat colonoscopy and IV antibiotics resolved the condition without surgery.

## Abstract

Colonic intussusception is a rare complication following colonoscopy. This case report describes an unusual instance of colo-colic intussusception after endoscopic removal of polyps, highlighting the importance of post-procedural monitoring.

A 58-year-old female presented with cramping abdominal pain, rectal bleeding, and fever 15 hours after a routine colonoscopy. CT imaging revealed a ‘target sign’ consistent with colo-colic intussusception.

Management of post-colonoscopy intussusception varies from conservative to surgical approaches. In this case, repeat colonoscopy confirmed spontaneous resolution, thus avoiding surgery.

This case highlights the need for clinicians to maintain a high index of suspicion for rare but significant complications such as intussusception following colonoscopy. Prompt recognition and appropriate follow-up are essential to guide management and improve patient outcomes. It is important to consider risk factors that may increase a patient's risk of developing intussusception.

•Rare complication: Colonic intussusception following a routine colonoscopy for surveillance.•Post-procedural symptoms: Abdominal cramping, rectal bleeding, and fever.•Timely diagnosis: Repeat colonoscopy revealed a resolved colo-colic intussusception.•Management approach: Conservative management with repeat colonoscopy and IV antibiotics led to symptom resolution•Educational value: Highlights the importance of considering rare complications like intussusception in patients presenting with post-colonoscopy symptoms

Rare complication: Colonic intussusception following a routine colonoscopy for surveillance.

Post-procedural symptoms: Abdominal cramping, rectal bleeding, and fever.

Timely diagnosis: Repeat colonoscopy revealed a resolved colo-colic intussusception.

Management approach: Conservative management with repeat colonoscopy and IV antibiotics led to symptom resolution

Educational value: Highlights the importance of considering rare complications like intussusception in patients presenting with post-colonoscopy symptoms