LEFT SIDED COLO-COLIC INTUSSUSCEPTION: A RARE ENTITY

Dr Nikunj Jain; Dr Nadeem Musthaque Ahmed; Dr Vimal Kumar Dhaduk; Dr J.K.A. Jameel; Dr Prasanna Kumar Reddy

Volume : VI, Issue : XII, December - 2017

LEFT SIDED COLO-COLIC INTUSSUSCEPTION: A RARE ENTITY

Dr Nikunj Jain, Dr Nadeem Musthaque Ahmed, Dr Vimal Kumar Dhaduk, Dr J. K. A. Jameel, Dr Prasanna Kumar Reddy

Abstract :

Invagination of one segment of bowel into adjacent segment is known as intussusception. Intussusception is usually seen in paediatric age group. It is rarely seen in adults. Furthermore it is unusual to get an intussusception involving the descending colon. The usual cause of colo-colic intussusception is a malignant lesion acting as lead point. Rarely a benign lesion can act as a lead point. High index of suspicion is required to diagnose intussusception in adults. Contrast enhanced computer tomography (CECT) is a useful diagnostic tool to diagnose intussusception in adults. With growing expertise in field of laparoscopy these cases can be managed laparoscopically. We describe a rare case of colo-colic intussusception involving transverse colon and descending colon in an elderly male, caused by a lipoma acting as a lead point, which was treated by laparoscopic left hemicolectomy. In this article we emphasize on the rare location of intussusception, role of laparoscopy in management of this case and a benign pathology at an unusual location.