Int J Surg Case Rep. 2025 Aug 28;135:111875. doi: 10.1016/j.ijscr.2025.111875. Online ahead of print.
ABSTRACT
INTRODUCTION: Adult intussusception is rare, and its occurrence following colonoscopy-especially after multiple polypectomies-is exceptionally uncommon. This case highlights a rare post-endoscopic complication with implications for early diagnosis and management.
CASE PRESENTATION: A 55-year-old man presented with abdominal pain, bloating, and nausea 24 h after colonoscopy with removal of nine polyps via cold snare technique. CT revealed ileocolic intussusception without a clear lead point. Conservative management failed. Exploratory laparotomy revealed an inflamed bowel segment at the polypectomy site. A right hemicolectomy with ileocolic anastomosis was performed.
DISCUSSION: Histopathology showed mucosal ulceration, mural abscesses, and submucosal oedema without malignancy-supporting inflammation as a transient lead point. Despite SLE and multiple comorbidities, early surgical intervention resulted in full recovery.
CONCLUSION: This case emphasises vigilant monitoring of high-risk patients post-polypectomy and the need to include intussusception in differential diagnoses of acute abdomen following colonoscopy.
PMID:40897033 | DOI:10.1016/j.ijscr.2025.111875
