In regard to an article published in the February issue of the Canadian Journal of Surgery,1 entitled “Surgical images: soft tissue. Transverse colonic intussusception,” the authors should not have tried manual reduction, since a great percentage of the intussusceptions in adults (up to 65%)2,3 has a malignant origin,4 and manual reduction could cause a dispersion of the tumour. It is necessary to be sure that the lesion has no malignant origin, by sending a transoperatory histopathological test. Invaginations in adults must be resected without attempting reduction.
They are mostly of the ileocolic variety, and coloenteric anastomosis in either case has good results, any time a patient is under adequate intestinal preparatory preparation, despite being different from neoplasic pathology.
Footnotes
Competing interests: None declared.