Obstrucción intestinal total secundaria a intususcepción por adenocarcinoma de ciego en paciente adulto, a propósito de un caso

Abstract

Introduction: Colon adenocarcinoma is one of the most prevalent malignant tumors around the world. Intussusception occurs when a segment of the intestine moves towards an adjacent segment, which can cause intestinal obstruction and even ischemia. Although it is easy to treat, its diagnosis represents a challenge, especially when it occurs in adulthood, since most of the cases are diagnosed in pediatric age. The final treatment will be surgical intervention, whether open or laparoscopic, both being according to the surgeon's choice, but certain benefits can be determined from the latter, such as accelerated healing, shorter hospital stay, and reduced risk of incisional hernia. Objective: To describe a clinical case and carry out its respective analysis based on the bibliography found about colon adenocarcinoma that produces intussusception. Materials and methods: Descriptive study and clinical case presentation. Results: Clinical case of a 64-year-old female patient with no relevant history who presented abdominal pain for approximately 2 years, which was exacerbated in the days before going to the health home. Due to his clinical history and physical examination and imaging tests, a surgical intervention was performed for intestinal obstruction, with the finding of an intestinal invagination secondary to an adenocarcinoma of the cecum. Conclusions: The rapid and adequate management of an intestinal obstruction is necessary to reduce morbidity and mortality, in this case, the incidental finding of intestinal intussusception was correctly resolved by the surgeon, which favored the satisfactory evolution of the patient.