INCIDENTAL FINDING OF A SIGMOID INTUSSUSCEPTION ASSOCIATED WITH RECTAL PROLAPSE – A CASE REPORT

• Main Authors: Bogdan Socea, Anca A. Nica, Ovidiu G. Bratu, Camelia Diaconu, Alexandru C. Smaranda, Laura I. Socea, Șerban V. G. Berteșteanu, Mihai Dimitriu, Alexandru C. Carâp, Vlad D. Constantin
• Format: Article
• Language: English
• Published: Balkan Medical Union 2018-03-01
• Series: Archives of the Balkan Medical Union
• Subjects: sigmoid intussusception; rectal prolapse; rectosacropexy
• Online Access: http://umbalk.org/wp-content/uploads/2018/03/23.INCIDENTAL-FINDING-OF-A-SIGMOID-INTUSSUSCEPTION.pdf

Colonic intussusception in adults is extremely rare, accounting for about 5% of all cases of intussusception. The telescoping of a proximal segment in the lumen of the adjacent segment has a classic classical triad in the symptomatology of children: abdominal pain, bloody diarrhea and palpable abdominal mass. In the adult patient, the symptoms are almost absent, and rarely they consist of constipation, bloody stool, or a malignant pathology that accompanies intussusception, weight loss, and anemia. We present the case of a 86-year-old patient who underwent a surgical procedure for repairing a rectal prolapse; intraoperatively, we discovered a sigmoid intussusception for which we performed a segmentary sigmoidectomy, repairing the rectal prolapse by rectosacropexy with alloplastic mesh.