Recurrent Right Upper Quadrant Pain Masquerading an Underlying Colon Adenocarcinoma-Induced Intussusception

Intussusception in adults is a challenging diagnosis that often requires a high degree of suspicion. In adults presenting with symptoms, almost 90% have underlying neoplasms. Most frequently, the presentation will include nonspecific abdominal pain, vomiting, and mucoid hematochezia. In this case, w...

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Bibliographic Details
Published inCase reports in gastroenterology Vol. 15; no. 2; pp. 501 - 506
Main Authors Qiryaqoz, Zeena Ayad, Katiyar, Urvashi, Shebrain, Saad
Format Journal Article
LanguageEnglish
Published Basel, Switzerland S. Karger AG 10.06.2021
Karger Publishers
Subjects
Abdomen
adenocarcinoma
Adults
Cancer
case report
Case reports
Colon
Colorectal cancer
Disease
Ejection fraction
Etiology
Gallbladder
Gallstones
gastroenterology
Intestinal obstruction
intussusception
Irritable bowel syndrome
Ischemia
Medical libraries
Metastasis
Ostomy
Pain
Pathology
Patients
Pediatrics
Single Case
Small intestine
Vomiting
Adenocarcinoma
Case report
Intussusception
Gastroenterology
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Summary:Intussusception in adults is a challenging diagnosis that often requires a high degree of suspicion. In adults presenting with symptoms, almost 90% have underlying neoplasms. Most frequently, the presentation will include nonspecific abdominal pain, vomiting, and mucoid hematochezia. In this case, we present a 39-year-old female with a rare presentation of chronic, recurrent right upper quadrant abdominal pain over a 5-month interval. The misleading presentation with which the patient presented led to a delay in diagnosis and treatment of colon malignancy and serves to advocate for intussusception as a differential for adult patients presenting with obstructive symptoms of unknown origin and recurrent abdominal pain. Such cases should persuade physicians to plan prompt surgical intervention as to not delay optimal diagnostic and therapeutic outcomes.
ISSN:1662-0631
1662-0631
DOI:10.1159/000516863