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.
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.
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.