International journal of surgery case reports · 2025
Complication of colo-colic intussusception following colonoscopy: A case report and review of literature.
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Rienecker Sophie, Rawther Thampi
Аннотация
INTRODUCTION AND IMPORTANCE: Colonic intussusception is a rare complication following colonoscopy. This case report describes an unusual instance of colo-colic intussusception after endoscopic removal of polyps, highlighting the importance of post-procedural monitoring.
CASE PRESENTATION: A 58-year-old female presented with cramping abdominal pain, rectal bleeding, and fever 15 hours after a routine colonoscopy. CT imaging revealed a 'target sign' consistent with colo-colic intussusception.
CLINICAL DISCUSSION: Management of post-colonoscopy intussusception varies from conservative to surgical approaches. In this case, repeat colonoscopy confirmed spontaneous resolution, thus avoiding surgery.
CONCLUSION: This case highlights the need for clinicians to maintain a high index of suspicion for rare but significant complications such as intussusception following colonoscopy. Prompt recognition and appropriate follow-up are essential to guide management and improve patient outcomes. It is important to consider risk factors that may increase a patient's risk of developing intussusception.
CASE PRESENTATION: A 58-year-old female presented with cramping abdominal pain, rectal bleeding, and fever 15 hours after a routine colonoscopy. CT imaging revealed a 'target sign' consistent with colo-colic intussusception.
CLINICAL DISCUSSION: Management of post-colonoscopy intussusception varies from conservative to surgical approaches. In this case, repeat colonoscopy confirmed spontaneous resolution, thus avoiding surgery.
CONCLUSION: This case highlights the need for clinicians to maintain a high index of suspicion for rare but significant complications such as intussusception following colonoscopy. Prompt recognition and appropriate follow-up are essential to guide management and improve patient outcomes. It is important to consider risk factors that may increase a patient's risk of developing intussusception.