Colocolic Intussusception in a Patient with Ulcerative Colitis

Coghlan, Eduardo; Nadales, Ángel; Laferrere, Luis; Terres, Marcelo; Perotti, Juan Pablo

doi:10.1002/ibd.21123

Cited by 3 publications

(2 citation statements)

References 13 publications

(27 reference statements)

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“…However, nothing is described related to the localisation of intussusceptions in dogs with inflammatory bowel disease (Oliveira-Barros et al 2009). In humans with inflammatory bowel disease several localisations have been described, such as ileoileal (Knoweles et al 1989;Lopez-Tomassetti et al 2006), colocolonic (Maldonado et al 2004;Coghlan et al 2010), or ileocolic (Kihiezak and Rosenfeld 1998). It has been described that intussusceptions in Crohn's disease are expected to be found in the ileal and more proximal bowel (Maconi et al 2007), suggesting a possible relationship between localisation of the disease and type of intussusceptions.…”

Section: Oliveira-barros Et Al (2009) Have Recently Suggested a Relamentioning

confidence: 99%

“…Adult intussusceptions in the setting of inflammatory bowel disease in humans is a rare phenomenon, but some reports are described (Knowles et al 1989;Kihiezak and Rosenfeld 1998;Maldonado et al 2004;Lopez-Tomassetti et al 2006;Maconi et al 2007;Coghlan et al 2010). This condition has been also described in some cases of eosinophilic enteritis, an uncommon condition in humans (Kshirsagar et al 2007;Shin et al 2007).…”

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Transient ileocolic intussusception in a dog with histiocytic ulcerative tiflocolitis: a case report

García-Sancho¹,

Rodríguez-Franco²,

Rodríguez‐Bertos³

et al. 2012

Vet. Med. - Czech

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ABSTRACT:In human medicine, the association between intussusceptions and inflammatory bowel disease is well known, even if referred to only in case reports or a small series of patients. The exact cause of intussusceptions, in general, is unknown; however, any lesion in the bowel wall or irritant in the lumen that alters the normal peristaltic pattern may initiate invagination. In Crohn's disease the lead point may be dysrhytmic contractions secondary to the on-going inflammatory process of a thickened, inflamed segment of bowel wall. In veterinary medicine, the information available related to the association of intussusceptions and inflammatory bowel disease is limited. The present study is the first reported case of a dog in which ileocolic intussusception and histiocytic ulcerative colitis appear to be associated. Moreover, this is also the first description of the involvement of the caecum in canine histiocytic ulcerative colitis. Herein, we document a condition previously reported in humans with inflammatory bowel disease, and we believe that this work contributes to identifying the similarities between human and canine inflammatory bowel disease.

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Section: Oliveira-barros Et Al (2009) Have Recently Suggested a Relamentioning

confidence: 99%

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confidence: 99%

Transient ileocolic intussusception in a dog with histiocytic ulcerative tiflocolitis: a case report

García-Sancho¹,

Rodríguez-Franco²,

Rodríguez‐Bertos³

et al. 2012

Vet. Med. - Czech

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Asymptomatic colonic intussusception in ulcerative colitis: a case report

Tanabe

Furukawa

Masuda

et al. 2020

Journal of Surgical Case Reports

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Intussusception in adults is, especially with ulcerative colitis (UC), rare and only described in a few cases. Most adult patients with intussusception develop abdominal pain or other symptoms of bowel obstruction. This case describes an 18-year-old male with UC who treated with 5-aminosalycilicacid and underwent annual screening colonoscopies. Two attempts revealed that it was impossible to achieve total surveillance through the colonoscopy because multiple polyps were preventing the colonoscope from traversing the entire colon. Therefore, CT scan was performed and colonic intussusception was discovered incidentally, and the patient underwent elective laparoscopic total colectomy. To the best of our knowledge, this is the first reported case of asymptomatic intussusception in the adult patient with UC. When total surveillance colonoscopy fails to yield results, a CT may be advisable to pick up such an asymptomatic intussusception.

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Intussusception in the Setting of an Ulcerative Colitis Flare

Abed

Faber

Jageka

et al. 2022

Case Reports in Gastrointestinal Medicine

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Intussusception is an extraordinary cause of acute abdomen in adults and has been defined as the telescoping of a bowel segment into the lumen of an adjacent segment. A 43-year-old female presented to our hospital’s emergency department (ED) with 10+ episodes of bloody diarrhea per day, left-sided abdominal pain, and the inability to tolerate oral intake for one month. She was initially diagnosed with ulcerative colitis (UC) ten years ago and is currently on mesalamine oral and enema therapy. She presented to our gastroenterology clinic two weeks after the beginning of her flare and was started on prednisone 40 mg daily. This did not improve her symptoms, and she presented to the ED two weeks later. She underwent a computed tomography (CT) abdomen/pelvis which revealed intussusception in the left hemiabdomen with no definite lead point measuring 5.6 cm in the craniocaudal dimension with pneumatosis and no evidence of bowel obstruction. There were no other significant laboratory abnormalities. Acute care surgery was consulted and suggested obtaining a CT enterography for further evaluation which showed spontaneous resolution of intussusception with no evidence of pneumatosis, portal venous gas, or intraperitoneal free air. She reports that following oral contrast intake, she “felt movement and relaxation” in her abdomen with substantial pain relief. Infectious workup was negative, and therapy was initiated with intravenous steroids. In conclusion, intussusception has been very rarely reported in patients with UC with the most common treatment being surgical resection. However, conservative management in the absence of bowel obstruction can be attempted.

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Colocolic Intussusception in a Patient with Ulcerative Colitis

Cited by 3 publications

References 13 publications

Transient ileocolic intussusception in a dog with histiocytic ulcerative tiflocolitis: a case report

Transient ileocolic intussusception in a dog with histiocytic ulcerative tiflocolitis: a case report

Asymptomatic colonic intussusception in ulcerative colitis: a case report

Intussusception in the Setting of an Ulcerative Colitis Flare

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