Intussusception in adults is a challenging diagnosis that often requires a high degree of suspicion. In adults presenting with symptoms, almost 90% have underlying neoplasms. Most frequently, the presentation will include nonspecific abdominal pain, vomiting, and mucoid hematochezia. In this case, we present a 39-year-old female with a rare presentation of chronic, recurrent right upper quadrant abdominal pain over a 5-month interval. The misleading presentation with which the patient presented led to a delay in diagnosis and treatment of colon malignancy and serves to advocate for intussusception as a differential for adult patients presenting with obstructive symptoms of unknown origin and recurrent abdominal pain. Such cases should persuade physicians to plan prompt surgical intervention as to not delay optimal diagnostic and therapeutic outcomes.
Case Rep Gastroenterol 2021;15:501–506

中文翻译：

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复发性右上象限疼痛伪装成潜在的结肠腺癌引起的肠套叠

成人肠套叠是一项具有挑战性的诊断，通常需要高度怀疑。在出现症状的成年人中，几乎 90% 有潜在的肿瘤。最常见的表现包括非特异性腹痛、呕吐和粘液性便血。在本例中，我们介绍了一名 39 岁女性，在 5 个月的时间间隔内出现罕见的慢性复发性右上腹痛。患者的误导性表现导致结肠恶性肿瘤的诊断和治疗延迟，并有助于提倡将肠套叠作为出现不明来源梗阻症状和复发性腹痛的成年患者的鉴别诊断。
Case Rep Gastroenterol 2021；15:501–506