Abstract
A patient was 43-year-old woman presented with sudden right abdominal pain. Contrast enhanced abdominal CT revealed intussusception of ascending colon and air-filled cysts along the abdominal wall. Colonoscopy performed immediately after examination showed multiple elevated lesions with smooth surface shaped as clusters of grapes in the leading part of intussusception. Invaginated part of colon appeared to be edematous but not necrotic. From these findings, intussusception associated with pneumatosis cystoides interstinalis (PCI) was diagnosed. Intussusception was relived with colonoscopy. After colonoscopy, the abdominal pain of the patient was improved. Blood tests were normal except to slight increase of C reactive protein. Further clinical course was uneventful. Secondary colonoscopy on day 5 demonstrated mild non-specific inflammatory change in cecum. Patient was discharged after 9 days in a hospital. PCI caused intussusception in adult is a rare condition that may require surgical treatment. In our case patient remains to be symptom free 6 months after colonoscopy.
