Adult intussusception of the descending colon due to inflammatory myofibroblastic proliferation

Clin J Gastroenterol. 2012 Feb;5(1):74-8. doi: 10.1007/s12328-011-0268-z. Epub 2011 Nov 23.

Abstract

We present a case of an asymptomatic 70-year-old man with intussusception of the descending colon due to inflammatory myofibroblastic proliferation. Abdominal ultrasound examination showed a hypoechoic mass, 32 × 19 mm in size, accompanied by intussusception in the descending colon, and power Doppler sonography detected blood flow signals in the mass. Computed tomography revealed a hypervascular lesion, which was confirmed by barium enema and colonoscopy. The surgically excised mass was histologically diagnosed as inflammatory myofibroblastic proliferation. Although intussusception due to inflammatory myofibroblastic proliferation is rare, it should be considered in cases of adult colonic intussusception.

Keywords: Abdominal ultrasound; Inflammatory myofibroblastic proliferation; Intussusception.