Adult rectosigmoid junction intussusception presenting with rectal prolapse.
- Author:
Jing Zeng DU
1
;
Li Tserng TEO
1
;
Ming Terk CHIU
1
Author Information
- Publication Type:Case Reports
- MeSH: Abdominal Pain; Aged; Colectomy; Colon, Sigmoid; pathology; surgery; Dementia; complications; Diagnosis, Differential; Female; Hemorrhage; complications; Humans; Intussusception; complications; diagnosis; surgery; Necrosis; Prolapse; Rectal Prolapse; diagnosis; Rectum; pathology; surgery
- From:Singapore medical journal 2015;56(5):e78-81
- CountrySingapore
- Language:English
- Abstract: Most cases of intussusception in adults present with chronic and nonspecific symptoms, and can sometimes be challenging to diagnose. We herein report on a patient with the rare symptom of colonic intussusceptions presenting with rectal prolapse and review the existing literature of similar case reports to discuss how to reach an accurate diagnosis. A 75-year-old woman with dementia presented with per rectal bleeding, rectal prolapse and lower abdominal pain. An operation was scheduled and a large sigmoid intussusception with a polyp as a leading point was found intraoperatively. She subsequently recovered well and was discharged. As large sigmoid intussusceptions may present as rectal prolapse, intussusception should be considered as a differential diagnosis for immobile patients, especially when the leading point is a lesion.
