Clin Endosc.  2022 Jul;55(4):576-578. 10.5946/ce.2022.155.

A rare case of intussusception in a patient with ulcerative colitis

Affiliations
  • 1Division of Gastroenterology, Department of Internal Medicine, Chungnam National University Hospital, Chungnam National University School of Medicine, Daejeon, Korea


Figure

  • Fig. 1. (A) Initial sigmoidoscopy revealed mucosal edema, erythema, and exudates. (B) Initial abdominopelvic computed tomography (CT) scan showed a mass like lesion at the hepatic flexure (arrow). (C, D) Follow-up colonoscopy revealed a mass-like lesion was observed at the hepatic flexure. (E) Follow-up abdominopelvic CT 3 days later showed the absence of a mass-like lesion at the hepatic flexure.

  • Fig. 2. Histologically, the mass at the hepatic flexure was determined to be acute and chronic inflammation with inflamed granulation tissue (hematoxylin & eosin stain, ×100).

  • Fig. 3. (A, B) Follow-up colonoscopy 4 months later revealed no lesion at the hepatic flexure and marked improvement of the inflamed mucosal lesions at the rectum.


Reference

1. Martínez-Ubieto F, Jiménez-Bernadó T, Bueno-Delgado A, et al. Recurrent intestinal intussusception in an adult due to intestinal pseudopolyps not associated with inflammatory bowel disease: a case report. J Med Case Rep. 2015; 9:260.
2. Honjo H, Mike M, Kusanagi H, et al. Adult intussusception: a retrospective review. World J Surg. 2015; 39:134–138.
3. Tanabe T, Furukawa S, Masuda T, et al. Asymptomatic colonic intussusception in ulcerative colitis: a case report. J Surg Case Rep. 2020; 2020:rjaa050.
4. Marinis A, Yiallourou A, Samanides L, et al. Intussusception of the bowel in adults: a review. World J Gastroenterol. 2009; 15:407–411.
5. Kim KH. Intussusception in adults: a retrospective review from a single institution. Open Access Emerg Med. 2021; 13:233–237.
6. Yakan S, Caliskan C, Makay O, et al. Intussusception in adults: clinical characteristics, diagnosis and operative strategies. World J Gastroenterol. 2009; 15:1985–1989.
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