Presentation
Abdominal discomfort
Patient Data
Nonobstructive short-segment intussusception at the splenic flexure with mass-like circumferential thickening as the lead point. Several mildly enlarged draining lymph nodes anterior to the pancreas tail. Several small, ill-defined low attenuation liver lesions.
Case Discussion
Colo-colonic intussusception of the splenic flexure due to adenocarcinoma, with several small suspicious lymph nodes and liver lesions. While benign lesions such as lipoma can also be responsible for intussusception, the presence of such bulky soft tissue makes malignancy much more likely.
Final pathology excerpt: Moderately differentiated adenocarcinoma, invasive into the muscularis propria and metastatic to regional lymph nodes and liver lesions.
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