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      Colocolonic intussusception of a colostomy after colonoscopy

      case-report
      , ,
      Journal of Surgical Case Reports
      Oxford University Press

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          Abstract

          The incidence of complications after colonoscopy is low and has been reported to range of 0.01–0.9%. Of these complications, colocolonic intussusception after colonoscopy is exceedingly rare, with around 12 known cases described in the literature. This case report details the presentation and operative management of a patient who developed an ischemic stoma due to a colocolonic intussusception of an end colostomy after a colonoscopy. Intraoperative surgical exploration revealed a colocolonic intussusception involving the end colostomy. This is the first known documented occurrence of this phenomenon.

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          Most cited references9

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          Intussusception of the bowel in adults: a review.

          Intussusception of the bowel is defined as the telescoping of a proximal segment of the gastrointestinal tract within the lumen of the adjacent segment. This condition is frequent in children and presents with the classic triad of cramping abdominal pain, bloody diarrhea and a palpable tender mass. However, bowel intussusception in adults is considered a rare condition, accounting for 5% of all cases of intussusceptions and almost 1%-5% of bowel obstruction. Eight to twenty percent of cases are idiopathic, without a lead point lesion. Secondary intussusception is caused by organic lesions, such as inflammatory bowel disease, postoperative adhesions, Meckel's diverticulum, benign and malignant lesions, metastatic neoplasms or even iatrogenically, due to the presence of intestinal tubes, jejunostomy feeding tubes or after gastric surgery. Computed tomography is the most sensitive diagnostic modality and can distinguish between intussusceptions with and without a lead point. Surgery is the definitive treatment of adult intussusceptions. Formal bowel resection with oncological principles is followed for every case where a malignancy is suspected. Reduction of the intussuscepted bowel is considered safe for benign lesions in order to limit the extent of resection or to avoid the short bowel syndrome in certain circumstances.
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            Intussusception in adults. Review of 160 cases.

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              Adult intussusception: a systematic review and meta-analysis

              Perhaps partly because intussusception in adults is rare, optimal treatment remains controversial. The aim of this study was to determine the appropriate surgical procedure for adult intussusception.
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                Author and article information

                Contributors
                Journal
                J Surg Case Rep
                J Surg Case Rep
                jscr
                Journal of Surgical Case Reports
                Oxford University Press
                2042-8812
                May 2022
                25 May 2022
                25 May 2022
                : 2022
                : 5
                : rjac184
                Affiliations
                Department of Surgery, Central Michigan University College of Medicine , Saginaw, MI, USA
                Department of Surgery, Central Michigan University College of Medicine , Saginaw, MI, USA
                Department of Surgery, Central Michigan University College of Medicine , Saginaw, MI, USA
                Author notes
                Correspondence address. Tel: 1(469) 345-1786; E-mail: lucia1e@ 123456cmich.edu
                Article
                rjac184
                10.1093/jscr/rjac184
                9154063
                9242357f-c867-4796-bc4b-abeeedfde70f
                Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2022.

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 9 March 2022
                : 6 April 2022
                Page count
                Pages: 0
                Categories
                Case Report
                AcademicSubjects/MED00910
                jscrep/040

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