Abstract

Hollie Clements, Dhanya Sebastian, Darren J. Porter* and Zorica Vujovic

ABSTRACT

Adult intussusception occurs infrequently and differs from childhood intussusception in its presentation, aetiology, and treatment. Diagnosis can be delayed because of its longstanding, intermittent, and non - specific symptoms and most cases are diagnosed at emergency laparotomy. With more frequent use of computed tomography (CT) in the evaluation of patients with abdominal pain, the condition can be diagnosed more reliably. Treatment involves simple bowel resection in most cases. Reduction of the intussusception before resection is controversial, but there is a shift against this, especially in colonic cases. Surgery is the mainstay of treatment in adult colo - anal intussusception. This paper presents the clinical presentation, the investigations and the management of an adult patient with intussusception of the sigmoid colon into the rectum secondary to a sigmoid colonic polyp.