Acta Med. 2015, 58: 66-68

Transient and Non-Transient Intussusceptions of the Large Bowel in Adults: Two Case Reports

René Vobořila, Jan Fantaa, Petr Bačkovskýb, Daniel Ehrenbergerb, Jana Vobořilovác

aDepartment of Surgery, First Faculty of Medicine, Charles University in Prague and Na Bulovce Hospital, Prague, Czech Republic
bDepartment of Surgery, Hospital of Merciful Sisters of St. Borromeo, Prague, Czech Republic
cDepartment of Biochemistry, Cell and Molecular Biology, Division of Cell and Molecular Biology, Third Faculty of Medicine, Charles University in Prague, Prague, Czech Republic

Received April 19, 2015
Accepted May 18, 2015

Background: Intussusception of the large bowel in adults is a very rare pathological condition. However, it has its clinical importance because intussusception is very often associated with an intraluminal lesion. Case report: We report two cases of the large bowel intussusception, ileocolic and colorectal. Both intussusceptions were associated with a malignant tumor. However, the clinical presentation was different. One of the intussusceptions was of non-transient character, while the second one resolved spontaneously before operation. Both patients underwent surgery and malignant tumors were found and removed. Results: The purpose of the article is to draw attention to intussusception and emphasize that intussusception, either transient or non-transient, should be further examined. Conclusions: The intussusception may be the first and the only signal of the existence of a malignant tumor, very often colorectal carcinoma.


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