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ACG Case Rep J. 2017; 4: e94.
Published online 2017 August 2. doi:  10.14309/crj.2017.94
PMCID: PMC5541757

Transient Descending Colocolonic Intussusception Due to a Large Fecaloma in an Adult


Intussusception typically occurs in infants and children, with adults representing 5% of cases. A 53-year-old African American woman presented with lower abdominal pain and tenderness. Computed tomography of the abdomen and pelvis demonstrated a 3.5 cm colocolonic intussusception in the descending colon. Emergent colonoscopy found solid stool in the mid descending colon. Water-soluble rectal enema showed a filling defect in the mid descending colon. Repeat colonoscopy demonstrated presence of a large fecaloma in left colon. Laxatives were initiated, and abdominal pain subsided. To our knowledge, this is the first report of colocolonic intussusception secondary to fecaloma.

Articles from ACG Case Reports Journal are provided here courtesy of American College of Gastroenterology