{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T20:10:04Z","timestamp":1756325404276,"version":"3.44.0"},"reference-count":15,"publisher":"BMJ","issue":"3","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,2,25]]},"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:p>We report the case of a woman in her early 60s, who presented with colocolic intussusception, leading to acute large bowel obstruction. The patient presented with colicky abdominal pain, diarrhoea mixed with blood and mucous and raised inflammatory markers. Abdominal examination revealed mild tenderness in the left lower abdomen. The CT scan reported colocolic intussusception extending from proximal to mid-sigmoid colon, with early ischaemic changes. The patient underwent laparoscopy-assisted sigmoid colectomy with an end colostomy and an uneventful postoperative recovery. Histopathological examination identified a benign colonic lipoma, with ischaemic and necrosed intussuscepted colonic segment. Intestinal intussusception is rare in adults and only accounts for 1% of the cases of intestinal obstruction in adults, mostly caused by a pathological lead point like colonic adenocarcinoma or a benign lipoma. Due to the potential risk of malignancy, radiological decompression is not advisable in adults, and en bloc resection of the intussuscepted segment is recommended.<\/jats:p>","DOI":"10.1136\/bcr-2024-263469","type":"journal-article","created":{"date-parts":[[2025,3,7]],"date-time":"2025-03-07T13:45:33Z","timestamp":1741355133000},"page":"e263469","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Colocolic intussusception with intestinal obstruction in adults secondary to a colonic lipoma"],"prefix":"10.1136","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5539-2273","authenticated-orcid":false,"given":"Ammara","family":"Salam","sequence":"first","affiliation":[{"name":"Manchester University NHS Foundation Trust, Manchester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Baraa","family":"Chkir","sequence":"additional","affiliation":[{"name":"Manchester University NHS Foundation Trust, Manchester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shua","family":"Haq","sequence":"additional","affiliation":[{"name":"Manchester University NHS Foundation Trust, Manchester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Moustafa","family":"Mansour","sequence":"additional","affiliation":[{"name":"Manchester University NHS Foundation Trust, Manchester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,3,7]]},"reference":[{"key":"2025082712304690000_18.3.e263469.1","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.ijscr.2018.06.009","article-title":"Colonic intussusception caused by a sigmoidal lipoma: A case report","volume":"50","author":"M\u2019rabet","year":"2018","journal-title":"Int J Surg Case Rep"},{"key":"2025082712304690000_18.3.e263469.2","unstructured":"Brill A , Lopez RA . Intussusception in adults. In: StatPearls. Treasure Island (FL): StatPearls Publishing, 2024. Available: https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK545264\/"},{"key":"2025082712304690000_18.3.e263469.3","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-199708000-00003"},{"key":"2025082712304690000_18.3.e263469.4","doi-asserted-by":"crossref","first-page":"030","DOI":"10.1055\/s-0036-1593429","article-title":"Intestinal Intussusception: Etiology, Diagnosis, and Treatment","volume":"30","author":"Marsicovetere","year":"2016","journal-title":"Clin Colon Rectal Surg"},{"key":"2025082712304690000_18.3.e263469.5","doi-asserted-by":"crossref","DOI":"10.1016\/j.ijscr.2023.108331","article-title":"Adenocarcinoma of the sigmoid colon causing sigmoido-rectal intussusception: A rare entity in adults","volume":"107","author":"Fiordaliso","year":"2023","journal-title":"Int J Surg Case Rep"},{"key":"2025082712304690000_18.3.e263469.6","doi-asserted-by":"crossref","DOI":"10.3390\/jcm10215149","article-title":"Colonic Lipoma Causing Bowel Intussusception: An Up-to-Date Systematic Review","volume":"10","author":"Menegon Tasselli","year":"2021","journal-title":"J Clin Med"},{"key":"2025082712304690000_18.3.e263469.7","doi-asserted-by":"crossref","first-page":"79","DOI":"10.7812\/TPP\/14-125","article-title":"Adult intussusception","volume":"19","author":"Lu","year":"2015","journal-title":"Perm J"},{"key":"2025082712304690000_18.3.e263469.8","doi-asserted-by":"crossref","DOI":"10.1186\/1471-230X-1-1","article-title":"Jejunogastric intussusception presented with hematemesis: a case presentation and review of the literature","volume":"1","author":"Archimandritis","year":"2001","journal-title":"BMC Gastroenterol"},{"key":"2025082712304690000_18.3.e263469.9","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.15.407"},{"key":"2025082712304690000_18.3.e263469.10","doi-asserted-by":"crossref","DOI":"10.1136\/bcr-2023-256128","article-title":"Colo-colonic intussusception secondary to a lipomatous lesion in an asymptomatic patient","volume":"16","author":"Kyaw","year":"2023","journal-title":"BMJ Case Rep"},{"key":"2025082712304690000_18.3.e263469.11","doi-asserted-by":"crossref","DOI":"10.1136\/bcr-2019-232761","article-title":"Rare case of adult colocolic intussusception","volume":"13","author":"Shepherd","year":"2020","journal-title":"BMJ Case Rep"},{"key":"2025082712304690000_18.3.e263469.12","doi-asserted-by":"crossref","DOI":"10.1093\/jscr\/rjaa429","article-title":"A case of colonic intussusception and obstruction secondary to giant colonic lipoma","volume":"2020","author":"Law","year":"2020","journal-title":"J Surg Case Rep"},{"key":"2025082712304690000_18.3.e263469.13","doi-asserted-by":"crossref","first-page":"416","DOI":"10.1016\/j.ijscr.2013.01.010","article-title":"Idiopathic adult colo-colonic intussusception: Case report and review of the literature","volume":"4","author":"Amoruso","year":"2013","journal-title":"Int J Surg Case Rep"},{"key":"2025082712304690000_18.3.e263469.14","doi-asserted-by":"crossref","first-page":"2536","DOI":"10.12998\/wjcc.v7.i17.2536","article-title":"Adult intussusception caused by colonic anisakis: A case report","volume":"7","author":"Choi","year":"2019","journal-title":"World J Clin Cases"},{"key":"2025082712304690000_18.3.e263469.15","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1016\/j.ijscr.2016.07.019","article-title":"Adult colo-colonic intussusception caused by congenital bands: A case report and literature review","volume":"26","author":"Wang","year":"2016","journal-title":"Int J Surg Case Rep"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2024-263469","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T19:30:55Z","timestamp":1756323055000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2024-263469"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3]]},"references-count":15,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2025,3,7]]},"published-print":{"date-parts":[[2025,3]]}},"alternative-id":["10.1136\/bcr-2024-263469"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2024-263469","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2025,3]]}}}