{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T16:10:11Z","timestamp":1756311011064,"version":"3.44.0"},"reference-count":5,"publisher":"BMJ","issue":"11","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,11,12]]},"published-print":{"date-parts":[[2019,11]]},"abstract":"<jats:p>We present a case of an unusually large, circumferential tubulovillous adenoma involving the terminal ileum and the caecum with ileocaecal valve consumption, presenting as intussusception in an otherwise healthy 90-year-old woman. The patient presented with several months of chronic symptoms of weight loss and diarrhoea. Clinical examination revealed a right-sided mass. Investigations revealed a large right-sided lesion suspicious of intussusception. The patient underwent a right-sided hemicolectomy where the intussusception was resected. Histology of the resected mass revealed a tubulovillous adenoma with focal invasive adenocarcinoma.<\/jats:p>","DOI":"10.1136\/bcr-2019-232173","type":"journal-article","created":{"date-parts":[[2019,11,27]],"date-time":"2019-11-27T05:15:22Z","timestamp":1574831722000},"page":"e232173","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Intussusception of a large circumferential caecal adenoma with ileocaecal valve consumption"],"prefix":"10.1136","volume":"12","author":[{"given":"Engelbert","family":"Mthunzi","sequence":"first","affiliation":[{"name":"Department of General Surgery, Ealing Hospital NHS Trust, Harrow, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pepe","family":"Mullerat","sequence":"additional","affiliation":[{"name":"General Surgery, London North West Healthcare NHS Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Faris","family":"Kubba","sequence":"additional","affiliation":[{"name":"Histopathology, North West London Hospitals NHS Trust, Southall, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2019,11,26]]},"reference":[{"key":"2025082708501171000_12.11.e232173.1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMcpc020109"},{"key":"2025082708501171000_12.11.e232173.2","doi-asserted-by":"publisher","DOI":"10.1136\/pgmj.2004.022749"},{"key":"2025082708501171000_12.11.e232173.3","first-page":"128","article-title":"Adult intussusception: a six-year experience at a single center","volume":"25","author":"Sarma","year":"2012","journal-title":"Ann Gastroenterol"},{"key":"2025082708501171000_12.11.e232173.4","doi-asserted-by":"crossref","first-page":"580","DOI":"10.1016\/j.amjsurg.2014.10.019","article-title":"Intussusception in adults and the role of evolving computed tomography technology","volume":"209","author":"Amr","year":"2015","journal-title":"Am J Surg"},{"key":"2025082708501171000_12.11.e232173.5","doi-asserted-by":"crossref","first-page":"3901","DOI":"10.18203\/2320-6012.ijrms20151467","article-title":"Intussusception due to caecal carcinoma in a young man: unusual cause of presentation a case report","volume":"3","author":"Gujar","year":"2015","journal-title":"Int J Res Med Sci"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2019-232173","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T15:50:17Z","timestamp":1756309817000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2019-232173"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,11]]},"references-count":5,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2019,11,26]]},"published-print":{"date-parts":[[2019,11]]}},"alternative-id":["10.1136\/bcr-2019-232173"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2019-232173","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2019,11]]}}}