Intussusception of Rectosigmoid Colon Cancer Mimicking a Pedunculated Tumor

Saigusa, Susumu; Ohi, Masaki; Imaoka, Hiroki; Shimura, Takaya; Inoue, Yasuhiro; Kusunoki, Masato

doi:10.1155/2014/696403

Cited by 5 publications

(7 citation statements)

References 19 publications

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“…The duration of symptoms is longer in enteric and benign lesions than in malignant and colonic ones [ 13 ]. In our case, intussusception of the sigmoid colon into the rectum is was secondary to a colonic lipoma, however a review of the literature demonstrated that, other lesions in the sigmoid wall are more likely to cause intussusception, such as sigmoid polyp [ 11 ], a sigmoid adenocarcinoma [ 14 , 15 ] and a sigmoid liposarcoma [ 12 ].…”

Section: Discussionmentioning

confidence: 92%

“…Its sensitivity ranges from 71.4% to 87.5%, with a specificity neighboring 100% [ 9 ]. The characteristics of intussusception on CT are the ‘target’ or ‘sausage-shaped’ soft tissue mass, mesenteric vessels within the bowel lumen are also typical [ 6 , 13 , 14 ]. Moreover, complications of intussusception such as acute obstruction or bowel ischemia and etiologies of intussusception can also be diagnosed by CT.…”

Section: Discussionmentioning

confidence: 99%

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Large pedunculated colonic lipoma: a rare cause of colorectal intussusception in adults

Zenaidi¹,

Ismail²,

Rekik³

et al. 2020

Pan Afr Med J

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Colo-rectal intussusception is rare in adults and is often secondary to malignant lesions, rarely benign lesions such as colonic lipomas can also be the cause. We present the case a 60-year-old man who presented to the emergency department with acute abdominal pain. On physical examination, the abdomen was distended with diffuse tenderness. CT scan of the abdomen revealed a colo-rectal intussusception secondary to a rectal lipoma with parietal pneumatosis of the invaginated loop. An emergency laparotomy was performed. Intraoperatively the radiological findings were confirmed. A rectosigmoid resection (Hartmann's procedure) taking off the lipoma and the invaginated segment of the colon was performed and the patient had an unevent full recovery. Histopathology confirmed a 6cm sub-mucosal lipoma without evidence of malignancy. As the diagnosis of a benign disease in patients presenting with colonic intussusception can only be made on pathological examination, this entity should be managed as a malignant lesion due to the high incidence of malignancy.

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Section: Discussionmentioning

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Large pedunculated colonic lipoma: a rare cause of colorectal intussusception in adults

Zenaidi¹,

Ismail²,

Rekik³

et al. 2020

Pan Afr Med J

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“…Because of the diverse presentation of symptoms, and that we cannot always see the characteristic images of intussusception in imaging test during the preoperative stage, the intussusception preoperative diagnostic rate is only 40-50% [2,7]. Abdomen x-ray usually reveals signs of bowel obstruction; on the ultrasonography, the characteristic intussusception image is a hyperechogenic concentric double halo finding along with thickening of the intestine wall [7,13].…”

Section: Discussionmentioning

confidence: 99%

“…Although intussusception was first described by Paul Barbette as a proximal bowel invagination to a distal portion, it was John Hunter who coined the term "intussusception" in 1789 by describing three patients with such findings [1]. Presently it is defined as telescoping of a proximal segment of the gastrointestinal tract into a distal segment and it occurs when an organic lesion of the bowel functions as a guiding point and it is pulled towards a distal segment due to normal peristalsis [2][3][4][5].…”

Section: Introductionmentioning

confidence: 99%

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Ileocecal Intussusception in an Adult Secondary to a Colon Adenocarcinoma: A Case Report and Literature Review

Brito¹,

Guzman²,

Ruiz³

et al. 2020

AJSCR

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Intussusception is defined as telescoping of a proximal segment of the gastrointestinal tract into a distal segment caused by an organic lesion usually on the bowel that functions as a guiding point been pulled towards a distal segment due to normal peristalsis. It is rare in adults, and it represents only 5% of all intussusceptions which for the most part has been reported in the rectosigmoid colon and mostly diagnosed during surgery. We present a patient with intermittent abdominal pain and intermittent mild symptoms of bowel obstruction who reveals in imaging studies an ileocecal intussusception and due to his age, loss of weight, and a palpable tumor, a malignancy as the cause of intussusception was suspected. The histopathological study reported a colon adenocarcinoma. Although it is possible to reduce an intussusception, this should be avoided in adults due to a high malignancy rate and a perforation risk of the piece that might cause tumor cell dissemination. Taking in consideration what has been reported in literature and the colon cancer epidemiology, we should always keep in mind the possibility of a malignant tumor in a colonic intussusception finding, regardless if it is diagnosed during preoperative by imaging studies in a scheduled patient or if it is found during an emergency laparotomy.

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Single-port laparoscopic surgery for cecum cancer with intussusception: a case report

Oshima,

Ishiyama,

Tanaka

et al. 2024

surg case rep

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Background Most adult cases of intussusception are caused by colorectal cancer, and emergency surgery is performed when symptoms such as abdominal pain and vomiting are present. The patient must customarily undergo both bowel decompression and radical surgery for colorectal cancer at the same time, and laparotomy is generally the procedure of choice. Case presentation An 86-year-old woman presented to our hospital with diarrhea and bloody stools. Preoperative examination revealed the presence of a cancerous tumor in the advanced part of the transverse colon and bowel intussusception. Radical surgery was successfully performed using the laparoscopic single-port technique through a small incision at the umbilical site to treat intussusception caused by cecum cancer. Conclusions With only one wound site at the umbilicus, this single-port laparoscopic approach is much less invasive than endoscopic surgery that requires four to five incision wounds to perform the procedure. Furthermore, the patient was discharged without major complications and this surgical technique could be of great benefit if established as a standard procedure in the future.

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Intussusception of Rectosigmoid Colon Cancer Mimicking a Pedunculated Tumor

Cited by 5 publications

References 19 publications

Large pedunculated colonic lipoma: a rare cause of colorectal intussusception in adults

Large pedunculated colonic lipoma: a rare cause of colorectal intussusception in adults

Ileocecal Intussusception in an Adult Secondary to a Colon Adenocarcinoma: A Case Report and Literature Review

Single-port laparoscopic surgery for cecum cancer with intussusception: a case report

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