A 55 year old male patient , presented to our emergency department with complaints of severe abdominal pain associated with vomiting and abdominal distension for 2 days . He was having on and off pain abdomen , associated with loose stools for 1 month period . No other co-morbids, he was subjected to C.T. Abdomen .

CT ( Abdomen )

Large Ileo-Colic Intususception with a mass at right infrahepatic zone associated with to and fro peristalsis.Patient was taken up for an emergency laparotomy after adequate preparation.

Findings :

Around 25cms of terminal ileum caecum and proximal ascending colon was found engulfed into distal ascending colon , presenting with a dense mass , grossly edematous and was irreducible .
Hence proceeded with resection of proximal ileum upto mid transverse colon (Extended right hemicolectomy) and ileotransverse anastamosis was done. Post-operatively patient was stable and discharged on 5th.

Comments:

INTUSUSCEPTION is quite common among pediatric patients and they are commonly managed by hydro – static reduction . This is quite uncommon presentation of 55year old man presenting with a large Intususception.