TRANSVERSE COLON CANCER PRESENTING AS TUMOR INTUSSUSCEPTION LEADING TO INTESTINAL OBSTRUCTION: A SURGICAL CASE REPORT.

Introduction: Tumor intussusception in transverse colon cancer involves the telescoping of a segment of the colon into an adjacent part, often triggered by a tumor acting as a lead point. It is more common in pediatric cases, while in adults, it frequently indicates an underlying malignancy such as transverse colon cancer. Case Report: Our paper aims to present the case of a 39-year-old female patient diagnosed with intestinal occlusion caused by neoplasia of the transverse colon. The patient was admitted to First Surgical Clinic -SCJU Tg. Mures via UPUSMURD were she accused of severe abdominal pain with the absence of intestinal transit. The abdominal CT scan indicates significant hydroaeric levels measuring 10 cm in the ascending and right half of the transverse colon. Additionally, there is evidence of obstructive syndrome of the left transverse colon characterized by a double wall invagination of the transverse colon extending over a length of 9 cm (intussusception). The surgical procedure performed was a right hemicolectomy with ileocolic mechanical anastomosis. Discussions : The patient's postoperative recovery proceeded smoothly without early or delayed surgical complications. She was discharged after eight days of hospitalization without encountering any complications. The histopathological postoperative report revealed mucinous adenocarcinoma of the transverse colon with high-grade malignancy (MSI-H). Conclusions: This case underscores the complexity of diagnosing and treating intussusception in adults, where such occurrences often indicate an underlying malignancy. Furthermore, this case highlights the necessity for vigilance in evaluating adult intussusception as a potential sign of serious underlying conditions, including malignancy. [ABSTRACT FROM AUTHOR]