{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T16:52:13Z","timestamp":1783529533848,"version":"3.55.0"},"reference-count":14,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2023,11,1]],"date-time":"2023-11-01T00:00:00Z","timestamp":1698796800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2023,11,1]],"date-time":"2023-11-01T00:00:00Z","timestamp":1698796800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2023,11,3]],"date-time":"2023-11-03T00:00:00Z","timestamp":1698969600000},"content-version":"vor","delay-in-days":2,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Sigmoid-rectal intussusception or invagination is an infrequently documented condition in the adult population, with only a handful of cases reported in the medical literature. The underlying pathological mechanism involves impaired peristalsis, often attributed to a malignant tumor.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation:<\/jats:title>\n                    <jats:p>A 78-year-old patient, with a history of abdominal pain and lower gastrointestinal bleeding, sought care at our emergency department with evident symptoms indicative of large bowel obstruction. Abdominal examination revealed distension and rectal examination found a mass mimicking an internal rectal prolapse. Subsequently, imaging studies confirmed the diagnosis of sigmoid-rectal intussusception. The patient underwent an emergency open sigmoid resection with Hartman's procedure. The postoperative course was uneventful. Anatomopathological analysis revealed the presence of stage I adenocarcinoma. A restoration of digestive continuity was scheduled six months later. One-year follow-up assessments showed no indications of local recurrence or distant metastasis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>Sigmoid rectal intussusception stands as a unique and infrequently reported medical entity. The absence of distinct clinical symptoms often renders diagnosis a challenging task, with confirmation typically relying on radiological findings. In contrast to the non-surgical approaches employed in pediatric cases, intussusception in adults necessitates surgical intervention due to its predominantly malignant underpinnings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>While sigmoid-rectal intussusception is an exceedingly rare occurrence, its manifestation with a multitude of non-specific symptoms can complicate clinical recognition. Nevertheless, it should be duly considered as a potential etiological factor in cases of large bowel obstruction, particularly when suggestive signs are found on rectal examination.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2023.109018","type":"journal-article","created":{"date-parts":[[2023,11,4]],"date-time":"2023-11-04T04:54:25Z","timestamp":1699073665000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["Sigmoid-rectal intussusception in an elderly patient"],"prefix":"10.1097","volume":"112","author":[{"given":"Anis","family":"Hasnaoui","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Racem","family":"Trigui","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed","family":"Ben Hassine","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed","family":"Haggari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Houda","family":"Bellamine","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-97-20260316","doi-asserted-by":"crossref","first-page":"134","DOI":"10.1007\/s00268-014-2759-9","article-title":"Adult intussusception: a retrospective review","volume":"39","author":"Honjo,","year":"2015","journal-title":"World J. Surg"},{"key":"R2-97-20260316","doi-asserted-by":"crossref","first-page":"134","DOI":"10.1097\/00000658-199708000-00003","article-title":"Adult intussusception","volume":"226","author":"Azar,","year":"1997","journal-title":"Ann. Surg"},{"key":"R3-97-20260316","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1016\/j.ijsu.2020.10.034","article-title":"Guideline: updating consensus surgical CAse REport (SCARE) guidelines","volume":"84","author":"Agha,","year":"2020","journal-title":"Int. J. Surg"},{"key":"R5-97-20260316","doi-asserted-by":"crossref","first-page":"639","DOI":"10.1007\/s12029-019-00326-6","article-title":"Colorectal intussusception due to rectosigmoid junction cancer: a unique surgical challenge?","volume":"51","author":"Lianos,","year":"2020","journal-title":"J. Gastrointest. Cancer"},{"key":"R6-97-20260316","doi-asserted-by":"crossref","first-page":"407","DOI":"10.3748\/wjg.15.407","article-title":"Intussusception of the bowel in adults: a review","volume":"15","author":"Marinis,","year":"2009","journal-title":"World J. Gastroenterol"},{"key":"R7-97-20260316","doi-asserted-by":"crossref","first-page":"3303","DOI":"10.3748\/wjg.15.3303","article-title":"Adult intussusception: a retrospective review of 41 cases","volume":"15","author":"Wang,","year":"2009","journal-title":"World J. Gastroenterol"},{"key":"R8-97-20260316","doi-asserted-by":"crossref","first-page":"1546","DOI":"10.1007\/s10350-006-0664-5","article-title":"Adult intussusception: a retrospective review","volume":"49","author":"Zubaidi,","year":"2006","journal-title":"Dis. Colon Rectum"},{"key":"R9-97-20260316","doi-asserted-by":"crossref","first-page":"e78","DOI":"10.11622\/smedj.2015078","article-title":"Adult rectosigmoid junction intussusception presenting with rectal prolapse","volume":"56","author":"Du,","year":"2015","journal-title":"Singapore Med. J"},{"key":"R11-97-20260316","doi-asserted-by":"crossref","first-page":"718","DOI":"10.1177\/000313481007600726","article-title":"Rectosigmoid intussusception through the anus mimicking rectal prolapse","volume":"76","author":"Torres,","year":"2010","journal-title":"Am. Surg"},{"key":"R12-97-20260316","doi-asserted-by":"crossref","first-page":"664","DOI":"10.11622\/smedj.2016181","article-title":"Clinics in diagnostic imaging (172)","volume":"57","author":"Low,","year":"2016","journal-title":"Singapore Med. J"},{"key":"R13-97-20260316","doi-asserted-by":"crossref","first-page":"834","DOI":"10.1007\/s00384-005-0789-3","article-title":"Clinical spectrum and surgical approach of adult intussusceptions: a multicentric study","volume":"21","author":"Barussaud,","year":"2006","journal-title":"Int. J. Colorectal Dis"},{"key":"R15-97-20260316","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1159\/000336601","article-title":"Adult intussusception caused by descending colon cancer during chemotherapy of stomach cancer recurrence","volume":"6","author":"Fukuchi,","year":"2012","journal-title":"Case Rep. Gastroenterol"},{"key":"R16-97-20260316","first-page":"280","article-title":"Adult bowel intussusception: presentation, location, etiology, diagnosis and treatment","volume":"34","author":"Lianos,","year":"2013","journal-title":"G. Chir"},{"key":"R18-97-20260316","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1055\/s-0036-1593429","article-title":"Intestinal intussusception: etiology, diagnosis, and treatment","volume":"30","author":"Marsicovetere,","year":"2017","journal-title":"Clin. Colon Rectal. Surg"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261223011471?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261223011471?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2023.109018","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,16]],"date-time":"2026-03-16T10:01:38Z","timestamp":1773655298000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2023.109018"}},"subtitle":["A case report of an unusual presentation of intestinal obstruction"],"short-title":[],"issued":{"date-parts":[[2023,11]]},"references-count":14,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2023]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2023.109018","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2023,11]]}}}