Although a greater incidence of right side colo-colonic intussusception, something which permits primary anastomosis in a non-prepared colon, has been reported, for left side lesions, such as the one of those reported in this article, it is preferable to perform a left hemicolectomy, a terminal colostomy and a Hartmman procedure with repetition of anastomosis at another time whenever this surgery is required in an emergency 4. 1. Cavalleri A, Perrin H, Brunner P, et al. Colocolic tumoral intussusception in the adult: value of multi-slice spiral CT imaging. Clin Imaging 2007; 316: 428-30. 2. Correia JD, Lefebvre K, Gray DK. Surgical images: soft tissue. Transverse colonic intussusception. Can J Surg 2007; 501: 60-1. 3. Yalamarthi S, Smith RC. Adult intussusception: case reports and review of literature. Postgrad Med J 2005; 81953: 174-7. 5. Kim YH, Blake MA, Harisinghani MG, et al. Adult intestinal intussusception: CT appearances and identification of a causative lead point. Radiographics 2006; 263: 733-44. 6. Erkan N, Haciyanli M, Yildirim M, et al. Intussusception in adults: an unusual and challenging condition for surgeons. Int J Colorectal Dis 2005; 205: 452-6. Epub 2005 Mar 10. 7. Barussaud M, Regenet N, Briennon X, et al. Clinical spectrum and surgical approach of adult intussusceptions: a multicentric study. Int J Colorectal Dis 2006; 218: 834-9. Epub 2005 Jun 11. 8. Gürses B, Kabakci N, Akyuz U, et al. Imaging features of a cecal lipoma as a lead point for colo-colonic intussusception. Emerg Radiol 2007. 9. Warshauer DM, Lee JK. Adult intussusception detected at CT or MR imaging: clinical-imaging correlation. Radiology 1999; 2123: 853-60. 10. Jaremko JL, Rawat B. Colo-colonic intussusception caused by a solitary Peutz-Jeghers polyp. Br J Radiol 2005; 78935: 1047-9.
Aunque ha sido reportada una mayor incidencia de intususcepción colocolónica en el lado derecho, situación que permite una anastomosis primaria en un colon no preparado, en el caso de una lesión izquierda como la reportada es preferible realizar una hemicolectomía izquierda, una colostomía terminal y un procedimiento de Hartmann con una reanastomosis en otro tiempo quirúrgico, siempre y cuando el manejo se realice de urgencia 4.