Histopathology results showing an expansive growth pattern, with invasion of the muscularis propria and serosa and extension towards the pericolonic adipose tissue. Abdominal tomography showed colo-colonic invaginations involving the hepatic flexure and transverse colon ( Fig. Laboratory analysis showed a leukocyte count of 12 300 × 10 3/μl. The patient showed tenderness in the mesogastrium and right hypochondrium a mass was palpable in the mesogastrium with slight pain on palpation and no flatulence. On physical examination, vital signs were within the normal range with no abdominal distension. The pain was mesogastric and radiated to the left hemiabdomen and was accompanied with a sensation of an abdominal mass. She presented to our center with a 4-day history of colicky abdominal pain of low intensity that increased gradually. We present the case of a 56-year-old woman with a history of laparoscopic cholecystectomy and arterial hypertension under treatment the patient had a polyp at the level of the hepatic flexure of the colon diagnosed 5 months before the presentation. The symptoms are nonspecific, and the lead point causing invagination is usually detected using advanced imaging studies. The most frequent location is the ascending colon (45%), and tumors larger than 2 cm are associated with a high risk of invagination. Colonic lipomas are an extremely rare cause of invagination. Although it can have a benign etiology, most cases are caused by malignant lesions, which are found in up to 65% of cases. Colonic intussusception, lipoma of the colon, hemicolectomy, intestinal obstruction INTRODUCTIONĬolonic intussusception is uncommon in adults, accounting for 1% of intestinal obstructions.
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