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Colonic intussusception after endoscopic mucosal resection successfully managed by endoscopic procedure

  • Case Report
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Clinical Journal of Gastroenterology Aims and scope Submit manuscript

Abstract

Adult-onset intussusception, particularly associated with colonoscopy, is extremely rare. A 78-year-old man, referred to our hospital for colonic endoscopic mucosal resection (EMR), experienced subsequent dull abdominal pain, as well as elevated peripheral blood leukocytosis and C-reactive protein levels. Abdominal computed tomography (CT) revealed a colocolonic intussusception at the hepatic flexure. Emergency colonoscopy revealed ball-like swollen mucosa distal to the EMR site of the ascending colon. The mucosa was intact without necrosis. The endoscopic approach was able to temporarily release the intussusception. A transanal drainage tube was inserted through the endoscope to prevent relapse. Both CT and colonoscopy showed release of the intussusception. Our case underscores the importance of considering colocolonic intussusception in post-colonoscopy abdominal pain, advocating for endoscopic management after excluding mucosal necrosis.

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Acknowledgements

We would like to thank Editage for English language editing.

Funding

This study was not supported by any funding agency.

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Authors and Affiliations

  1. Department of Endoscopy, Nagasaki University Hospital, 1-7-1, Sakamoto, Nagasaki, Nagasaki, 852-8501, Japan

    Keiichi Hashiguchi & Naoyuki Yamaguchi

  2. Department of Gastroenterology and Hepatology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan

    Keiichi Hashiguchi, Junya Shiota, Taro Akashi, Moto Kitayama & Kazuhiko Nakao

  3. Department of Gastroenterology, National Hospital Organization Nagasaki Medical Center, Nagasaki, Japan

    Shoichiro Mine

  4. Department of Histology and Biomedical Sciences, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan

    Maiko Tabuchi & Yuko Akazawa

  5. Medical Education Development Center, Nagasaki University Hospital, Nagasaki, Japan

    Kayoko Matsushima

Authors
  1. Keiichi Hashiguchi
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  2. Shoichiro Mine
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  3. Junya Shiota
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  4. Taro Akashi
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  5. Maiko Tabuchi
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  6. Moto Kitayama
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  8. Yuko Akazawa
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  9. Naoyuki Yamaguchi
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  10. Kazuhiko Nakao
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Contributions

SM performed endoscopy. KH, SM, MT, and MK managed the patients. JS and TA contributed the materials. KH drafted the manuscript. KM, YA, NY, and KN edited and revised the manuscript. All the authors have read and approved the final version of the manuscript.

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Correspondence to Keiichi Hashiguchi.

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Informed consent was obtained from the patient.

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Hashiguchi, K., Mine, S., Shiota, J. et al. Colonic intussusception after endoscopic mucosal resection successfully managed by endoscopic procedure. Clin J Gastroenterol (2024). https://doi.org/10.1007/s12328-024-01953-8

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  • DOI: https://doi.org/10.1007/s12328-024-01953-8

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