Intussusception in adults is uncommon and, in contrast to children, is usually caused by an intrinsic lesion of the intestine. The diagnosis of intussusception is seldom made in adults before operation which is probably related to its infrequency and to the unusual manifestations. Carcinoma of the cecum has been encountered as a cause of intussusception in three patients on the pavilion surgical service of The New York Hospital-Cornell Medical Center over a six-year period. The diagnostic and therapeutic considerations which have been suggested by these patients stimulated this report.
Report of Cases
—A 78-year-old white woman first noted intermittent right lower quadrant pain approximately one year prior to admission. The pain increased in severity two months before admission and during the last four weeks was associated with one or two loose stools daily. The patient had not suffered from nausea, vomiting, or melena. She reported a 70-pound weight