Journal of Emergencies, Trauma, and Shock
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Year : 2012  |  Volume : 5  |  Issue : 2  |  Page : 188-189

Complicated colonic intussusception

Department of Surgery, Central Gippsland Health Service, Sale, Victoria, Australia

Correspondence Address:
Justin James
Department of Surgery, Central Gippsland Health Service, Sale, Victoria
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0974-2700.96493

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The manuscript deals with the case of a 53-year-old woman who developed large bowel obstruction. Per-rectal examination revealed a pedunculated lesion in the rectum; rigid sigmoidoscopy revealed a prolapsing pedunculated mass with a necrotic surface. The patient recovered well following anterior resection. Histology confirmed a pedunculated sub mucosal lipoma as the lead point for intussusception. Colonic intussusception is a rare cause of adult large bowel obstruction, and the preoperative clinical diagnosis of this condition can be difficult. Resection of the involved segment of the colon is the most appropriate choice of treatment in most such cases.

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