Adult Colonic Intussusception Caused by Mucinous Adenocarcinoma: Report of a Case

with a ten days history of generalized abdominal pain. He had not opened his bowels properly for ten days without flatus but had episodes of vomiting for five days and gradually abdominal distension developed. He had no other obvious clinical symptoms. His past medical history included several episodes of intermittent recurrent abdominal pain in the last 4 months for which he was not investigated. Otherwise, no major operation history or underlying disease was noted. Physical examination demonstrated he was clinically very dehydrated and had tachycardia. The remaining observations were within normal range. He had generalized abdominal distension and tenderness without rebound or percussion tenderness. No mass, organomegaly or hernias were palpable. He had decreased bowel sounds. Rectal examination identified normal anal tone, empty rectum, no mass or blood present. Cardiovascular and respiratory examinations were unremarkable. Chest X-ray revealed no free gas J Soc Colon Rectal Surgeon (Taiwan) March 2011