Cecal Adenocarcinoma Presenting as Colonic Intussusception in Adulthood

González-Hernández, Jessica; García, Fernando

doi:10.1080/08998280.2015.11929221

Cited by 4 publications

(5 citation statements)

References 11 publications

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“…The incidence of cecal carcinoma in Western populations among individuals under the age of 50 is rare, and its epidemiology remains poorly studied. While previous cases of cecal adenocarcinoma presenting as intussusception have been reported in older patients, there is no existing knowledge of such cases in younger patients [8]. In this case report, we describe the experience of a 36-year-old male who presented with abdominal pain and was found to have intussusception caused by cecal adenocarcinoma.…”

Section: Introductionmentioning

confidence: 87%

A Rare Case of Cecal Adenocarcinoma Presenting as Intussusception

Javed,

Dente,

Ghazanfar

et al. 2023

Cureus

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Colorectal cancer is widely recognized as one of the most common types of cancer worldwide. The management and outlook for colorectal cancer depend on its specific characteristics and how it presents clinically. Despite the identification of various risk factors and causes, cecal carcinoma, a type of colorectal cancer, is infrequent in Western populations under 50 years of age, and little research has been conducted on its epidemiology. Additionally, intussusception, a medical condition where one part of the intestine slides into another, is relatively rare among younger individuals. In this case report, we present a 36-yearold male who presented with abdominal pain. A physical exam revealed mild right-sided and peri-umbilical tenderness. A computed tomography scan of the abdomen and pelvis with contrast revealed long segment intussusception involving the terminal ileum and cecum. The patient underwent a reduction of intussusception and hemicolectomy. He was diagnosed with invasive cecal adenocarcinoma with metastasis to lymph nodes. He was started on chemotherapy and has been following as an oncology outpatient.

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Section: Introductionmentioning

confidence: 87%

A Rare Case of Cecal Adenocarcinoma Presenting as Intussusception

Javed,

Dente,

Ghazanfar

et al. 2023

Cureus

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“…This is the imaging study of choice for its diagnosis since it allows delimiting its location, recognizing its cause in up to 69% of the cases, and identifying data suggestive of ischemia and/or bowel perforation [3] [5] [9] [11] [15]; intussusceptions measuring more than 4 cm are unlikely to be resolved with conservative treatment [9]. Ultrasound has a diagnostic accuracy for intussusception of approximately 60% and can demonstrate a "doughnut sign" and "pseudo-kidney sign"; however, it can be limited by the distension of bowel loops and the patient's body habitus [10] [11] [12] [15].…”

Section: Miting Bloating Constipation and Bloody Stools [1] [2] [4] [...mentioning

confidence: 99%

“…There are no studies comparing conservative treatment with surgical treatment. While in pediatric patients intussusception can be reduced by enemas or even spontaneously with close monitoring [2] [3] [6] [9] [13] [15], in adults it usually requires early resection of the affected bowel segment especially if clinical or radiological data of bowel occlusion and/or an imminent complication are present since persistent proximal bowel distension due to distal occlusion may favor the development of microvascular ischemia and perforation culminating in peritonitis [1] [2] [5] [9] [13] [15]. In addition, the cause should be diagnosed and a malignant neoplasm should be discarded, for which surgery could also be therapeutic [1] [2] [7] [20].…”

Section: Miting Bloating Constipation and Bloody Stools [1] [2] [4] [...mentioning

confidence: 99%

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Colon Adenocarcinoma in a Retrograde Intussusception: A Case Report and Literature Review

Brito,

Ruiz,

Dávila

et al. 2024

OJGas

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Background: Intussusception is defined as a telescoping of a proximal gastrointestinal segment with its mesentery to a distal one, only 5% occur in adults and in colon the probability that it is caused by a malignant disease is up to 65%. Only 1% occurs in a retrograde manner, the rest occur in an anterograde manner. Aim: Describe the clinical presentation of an intussusception in the adult patient as well as its most frequent causes and possible complications that influence decision making for a definitive treatment. Case Presentation: A 66-year-old woman diagnosed with colon adenocarcinoma who underwent elective transverse colectomy and colonic anastomosis with an incidental finding of a transverse colon tumor in a retrograde intussusception was studied. Conclusion: In any adult patient with an intussusception especially in colon a neoplasia should be suspected and the affected segment should be resected without being reduced due to the risk of perforation and tumor dissemination.

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“…Ninety percent of the cases in children are idiopathic, while 90% of adult cases are related to an organic lesion caused by benign or malignant tumors [ 2 ]. Abdominal pain, nausea, and vomiting are the most frequently seen symptoms [ 3 ]. The rate of accurate diagnosis of invagination using ultrasonography (US) and computed tomography (CT) ranges between 30% to 35% and 50% to 80%, respectively.…”

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confidence: 99%

Retrospective Analysis of Follow-up and Treated Invagination Cases in Our Clinic

Barut¹

2017

North Clin Istanbul

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OBJECTIVE:The purpose of this study was to present data on the diagnosis, treatment, clinical course, and outcome of cases of intestinal invagination.METHODS:Data of 11 patients treated for intestinal invagination at one center between June 2009 and July 2015 were analyzed retrospectively in terms of demographic data, etiological factors, anatomical localization of invagination, admission complaints, physical examination findings, diagnostic imaging modalities used, postoperative complications, and hospital stay.RESULTS:Of the total, 9 (81.8%) patients were female and 2 (18.2%) were male. Nine (81.8%) cases occurred due to benign causes and 2 to malignant causes. One (9%) patient had jejunojejunal invagination, 5 (45.5%) had ileoileal invagination, and 5 (45.5%) had ileocecal invagination. Right hemicolectomy-ileotransversostomy was performed in 5 (45.5%) patients and segmental small bowel resection with end-to-end anastomosis in 6 (54.5%).CONCLUSION:Intestinal invagination is a rare cause of acute abdomen in adults that may have a variety of etiologies and therefore may present with different clinical pictures. Abdominal pain, nausea, and vomiting are the most common symptoms. The rate of accurate diagnosis is 30% to 35% using ultrasonography and 50% to 80% using computerized tomography. In adults, the preferred treatment is surgery. As malignant pathologies are responsible for some cases of invagination, oncological principles should be strictly observed in surgical treatment. Though a rare cause of acute abdomen and/or ileus in adults, invagination is a clinical condition that must be kept in mind in the differential diagnosis.

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Cecal Adenocarcinoma Presenting as Colonic Intussusception in Adulthood

Cited by 4 publications

References 11 publications

A Rare Case of Cecal Adenocarcinoma Presenting as Intussusception

A Rare Case of Cecal Adenocarcinoma Presenting as Intussusception

Colon Adenocarcinoma in a Retrograde Intussusception: A Case Report and Literature Review

Retrospective Analysis of Follow-up and Treated Invagination Cases in Our Clinic

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