A tumor of the cecum induced multicylinder ileocolonic invagination without signs of intestinal obstruction

The OBJECTIVE was to demonstrate a non-standard variant of the course of multicylinder tumor ileocolonic invagination.A clinical case of a middle-aged patient with an erased clinical course of complex intestinal invagination is presented. According to the results of the examination, the patient was excluded from exacerbation of chronic pancreatitis and acute intestinal obstruction. According to the physical examination, an infiltrate was detected in the mesogastric region on the right and in the umbilical region, according to ultrasound, a similar infiltrate was visualized, mainly consisting of intestinal loops. Only an urgent diagnostic laparoscopy made it possible to identify the underlying disease and determine the final scope of surgical treatment. Simple invagination intestinal obstruction often occurs without a pronounced clinical picture, which is not typical for complex multicylinder invagination. The presented case in an emergency surgical hospital proceeded as a simple invagination and could lead to unjustified discharge without performing surgery for the tumor process in the cecum.