PMC8084652_01
Abdominal ultrasound showing a left flank mass.
CRIGM2021-5534918.001.jpg
PMC8084652_01_CRIGM2021-5534918.001.jpg
fig1
In addition, there was no hepatomegaly or splenomegaly; digital rectal examination does not revealed a palpable masse and rectum was empty; the rest of the clinical examination was without particularities; the biological assessment was normal; an abdominal X-ray radiography was performed showing some air fluid levels, Ultrasound revealed a mass on the left flank (Figure 1), and abdominal CT scan was performed for a better characterization, which showed a large intestinal invagination on a very probable heterogeneous digestive mass measuring 40 x 37 mm with invagination of the mesentery and signs of parietal pain on a digestive tumor mass (Figures 2 and 3).
Abdominal CT scan showing large intestinal invagination (heterogeneous digestive mass).
CRIGM2021-5534918.002.jpg
PMC8084652_01_CRIGM2021-5534918.002.jpg
fig2
In addition, there was no hepatomegaly or splenomegaly; digital rectal examination does not revealed a palpable masse and rectum was empty; the rest of the clinical examination was without particularities; the biological assessment was normal; an abdominal X-ray radiography was performed showing some air fluid levels, Ultrasound revealed a mass on the left flank (Figure 1), and abdominal CT scan was performed for a better characterization, which showed a large intestinal invagination on a very probable heterogeneous digestive mass measuring 40 x 37 mm with invagination of the mesentery and signs of parietal pain on a digestive tumor mass (Figures 2 and 3).
Abdominal CT scan showing large intestinal invagination (heterogeneous digestive mass).
CRIGM2021-5534918.003.jpg
PMC8084652_01_CRIGM2021-5534918.003.jpg
fig3
In addition, there was no hepatomegaly or splenomegaly; digital rectal examination does not revealed a palpable masse and rectum was empty; the rest of the clinical examination was without particularities; the biological assessment was normal; an abdominal X-ray radiography was performed showing some air fluid levels, Ultrasound revealed a mass on the left flank (Figure 1), and abdominal CT scan was performed for a better characterization, which showed a large intestinal invagination on a very probable heterogeneous digestive mass measuring 40 x 37 mm with invagination of the mesentery and signs of parietal pain on a digestive tumor mass (Figures 2 and 3).
Operative image showing colocolic intussusception.
CRIGM2021-5534918.004.jpg
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fig4
We performed an exploratory laparotomy that revealed colocolic intussusception caused by colonic tumor (Figure 4 and 5), an ascending 4.0 x 3.0 x 3.0 cm tumor as the lead point of intussusception into the proximal transverse colon with palpable mesentery lymph nodes Moreover, macroscopically, the tumor was ball-like with a regular surface and firm consistency.
Operative image showing colocolic intussusception.
CRIGM2021-5534918.005.jpg
PMC8084652_01_CRIGM2021-5534918.005.jpg
fig5
We performed an exploratory laparotomy that revealed colocolic intussusception caused by colonic tumor (Figure 4 and 5), an ascending 4.0 x 3.0 x 3.0 cm tumor as the lead point of intussusception into the proximal transverse colon with palpable mesentery lymph nodes Moreover, macroscopically, the tumor was ball-like with a regular surface and firm consistency.
Right hemicolectomy for caecal mass.
CRIGM2021-5534918.006.jpg
PMC8084652_01_CRIGM2021-5534918.006.jpg
fig6
The patient underwent a right hemicolectomy with terminolateral ileotransverse anastomosis in a single step (Figure 6).