2017 Volume 37 Issue 4 Pages 657-660
A 62-year-old woman was admitted to our department with an intermittent abdominal pain that had begun two days previously. Abdominal ultrasonography and contrast-enhanced computed tomography revealed an intussusception of the transverse colon. A colonoscopy revealed erosion on the side of the intussusception closest to the anus, but no neoplastic lesions were observed. After a Gastrografin® enema was attempted, the intussusception was successfully reduced. A colonoscopy that was performed 7 days later revealed only the presence of circular ulcers along the area affected by the intussusception. Thus, the patient was diagnosed as having adult idiopathic intussusception. The intussusception has not recurred in the nine years since diagnosis. Adult idiopathic intussusception is relatively rare and does not require further treatment if the absence of organic disease can be confirmed after reduction. If intussusception is diagnosed, endoscopic and enema examinations should be performed whenever possible.
