Journal Information
Vol. 84. Issue 1.
Pages 100-101 (January - March 2019)
Visits
758
Vol. 84. Issue 1.
Pages 100-101 (January - March 2019)
Clinical image in Gastroenterology
DOI: 10.1016/j.rgmxen.2018.06.008
Open Access
Transverse ileocolic invagination: An infrequent cause of nonspecific abdominal pain in the adult
Invaginación ileo-cólica transversa: causa infrecuente de abdominalgia inespecífica en el adulto
Visits
758
B. de Andrés-Asenjo
Corresponding author
beatrizdeandres007@yahoo.es

Corresponding author. Hospital Clínico Universitario, C/ Ramón y Cajal s/n. 47003 Valladolid, Spain. Tel.: +0034627378590.
, Z. Gómez-Carmona, F. Blanco-Antona, J. Beltrán de Heredia-Rentería
Unidad de Coloproctología, Servicio de Cirugía General y del Aparato Digestivo, Hospital Clínico Universitario, Valladolid, Spain
This item has received
758
Visits

Under a Creative Commons license
Article information
Full Text
Download PDF
Statistics
Figures (4)
Show moreShow less
Full Text

A 56-year-old woman came to the emergency department presenting with colicky pain in the right iliac fossa of 48-h progression that radiated to the right hypochondrium and the epigastrium, associated with diarrhea. She had undergone gastrointestinal evaluation due to complaints of similar episodes over the past 5 months. Abdominal ultrasound image was normal and bowel transit showed a filling defect located in the cecum, suggestive of a tumor (fig. 1). Abdominal examination revealed pain in the right iliac fossa and the epigastrium, with no signs of peritoneal irritation or increased bowel sounds. There were no important alterations in the laboratory tests. Abdominal CAT scans identified a large mass situated in the middle third of the transverse colon with interposition of the proximal ileum inside the ascending-transverse colon suggestive of invagination, with «sausage-shaped» mass or «target sign» images (figs. 2 and 3), and bowel segments of normal caliber. Urgent surgery was indicated, and radical oncologic right hemicolectomy was performed (fig. 4). The anatomopathologic study of the surgical specimen reported poorly differentiated pT1N0 adenocarcinoma of the cecum.

Figure 1.

Bowel transit: filling defect in the cecum suggestive of the presence of a tumor (black arrow).

(0.06MB).
Figure 2.

Coronal view of the abdominal CAT scan: invagination of the ileum (thick arrow) in the transverse colon (thin arrow). «Sausage-shaped» mass.

(0.06MB).
Figure 3.

Axial view of the abdominal CAT scan: invagination of the ileum (thin arrow) in the transverse colon (thick arrow). «Target sign» image.

(0.09MB).
Figure 4.

Specimen from the right hemicolectomy, with the cecum occupied by the tumor that retracted the ileum and produced the invagination.

(0.14MB).
Ethical disclosuresProtection of human and animal subjects

The authors declare that no experiments were performed on humans or animals for this study.

Confidentiality of data

The authors declare that no patient data appear in this article.

Right to privacy and informed consent

The authors declare that no patient data appear in this article.

Financial disclosure

No specific grants were received from public sector agencies, the business sector, or non-profit organizations in relation to this study.

Conflict of interest

The authors declare that there is no conflict of interest.

Please cite this article as: de Andrés-Asenjo B, Gómez-Carmona Z, Blanco-Antona F, Beltrán de Heredia-Rentería J. Invaginación ileo-cólica transversa: causa infrecuente de abdominalgia inespecífica en el adulto. Revista de Gastroenterología de México. 2019;84:100–101.

Copyright © 2018. Asociación Mexicana de Gastroenterología
Idiomas
Revista de Gastroenterología de México

Subscribe to our newsletter

Article options
Tools
es en
Política de cookies Cookies policy
Utilizamos cookies propias y de terceros para mejorar nuestros servicios y mostrarle publicidad relacionada con sus preferencias mediante el análisis de sus hábitos de navegación. Si continua navegando, consideramos que acepta su uso. Puede cambiar la configuración u obtener más información aquí. To improve our services and products, we use "cookies" (own or third parties authorized) to show advertising related to client preferences through the analyses of navigation customer behavior. Continuing navigation will be considered as acceptance of this use. You can change the settings or obtain more information by clicking here.