Frazão Joana, Silva Carolina, Almeida Filipe, Calado José, Mira Paulo
General Surgery, Hospital Prof. Doutor Fernando Fonseca, Lisboa, PRT.
General Surgery, Centro Hospitalar do Oeste, Caldas da Rainha, PRT.
Cureus. 2023 May 26;15(5):e39526. doi: 10.7759/cureus.39526. eCollection 2023 May.
Intussusception occurs when a part of the intestine slides into its distal adjacent portion and is a surgical emergency. Adult colocolic intussusception is rare, but it is a severe condition and is usually associated with a presence of a tumoral process. We present the case of a frail male patient admitted to our emergency department with abdominal pain, prostration, and dyspnea. The patient was diagnosed with colocolic intussusception and was submitted to a subtotal colectomy and ileostomy. Patients with colocolic intussusception usually present with chronic abdominal pain and signs of intestinal obstruction. Abdominal CT scan facilitates the diagnosis, but most cases are only diagnosed intraoperatively. Given the high probability of colon cancer, the treatment involves an oncological resection of the intestinal segment. Colocolic intussusception is a rare cause of intestinal obstruction in adults where a high suspicion index is of paramount importance, especially considering that most of the diagnoses are made at surgery.
肠套叠是指一段肠管套入与其相邻的远端肠管内，是一种外科急症。成人结肠结肠型肠套叠罕见，但病情严重，通常与肿瘤性病变有关。我们报告一例虚弱男性患者，因腹痛、虚脱和呼吸困难入住我院急诊科。该患者被诊断为结肠结肠型肠套叠，并接受了结肠次全切除术和回肠造口术。结肠结肠型肠套叠患者通常表现为慢性腹痛和肠梗阻体征。腹部CT扫描有助于诊断，但大多数病例仅在术中确诊。鉴于结肠癌的可能性很大，治疗包括对肠段进行肿瘤切除。结肠结肠型肠套叠是成人肠梗阻的罕见原因，高度怀疑指数至关重要，尤其是考虑到大多数诊断是在手术时做出的。
