Surgical Management of Adult Sigmoid Colon Intussusception Caused by a Malignant Tumor: Report of a Case

Matsuda, Keiji; Suda, Kazufumi; Tamura, Kazuo; Deguchi, Tomoaki; Yamazaki, Eriko; Yago, Hiroshi; Inaba, Tomoki; Takeshima, Toshio; Adachi, Miki; Okinaga, Kota

doi:10.1007/s00595-003-2579-2

Cited by 10 publications

(7 citation statements)

References 12 publications

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“…These intussusceptions are frequently located in the flexible portions of the colon, for example the sigmoid colon or cecum [5, 6]. Intussusception of the descending colon is rarer because the descending colon is anatomically fixed to the retroperitoneum [4].…”

Section: Discussionmentioning

confidence: 99%

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Adult Intussusception Caused by Descending Colon Cancer during Chemotherapy of Stomach Cancer Recurrence

Fukuchi¹,

Tsukagoshi²,

Sakurai

et al. 2012

Case Rep Gastroenterol

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Intussusception in adults is uncommon, and it is rare in the descending colon because of its fixation to the retroperitoneum. We herein describe a case of intussusception caused by descending colon cancer. A 74-year-old man was admitted to our hospital for treatment of vomiting and abdominal pain. He had undergone chemotherapy for lymph node recurrence of stomach cancer for about 4 years. Computed tomography revealed a ‘target mass’ with a tumor in the descending colon. We diagnosed his illness as intussusception of a descending colon tumor and performed emergency laparotomy. Conservative resection was performed following anastomosis after reduction of the intussusception. The tumor was pathologically diagnosed as poorly differentiated adenocarcinoma with neuroendocrine features. To the best of our knowledge, this is the first report of an intussusception caused by descending colon cancer incidentally diagnosed during chemotherapy for stomach cancer recurrence.

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Section: Discussionmentioning

confidence: 99%

“…However, reduction may be advisable to accurately determine the range of resection for minimally invasive surgery [6]. In our case, conservative resection was performed following anastomosis after reduction of the intussusception.…”

Section: Discussionmentioning

confidence: 99%

Adult Intussusception Caused by Descending Colon Cancer during Chemotherapy of Stomach Cancer Recurrence

Fukuchi¹,

Tsukagoshi²,

Sakurai

et al. 2012

Case Rep Gastroenterol

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“…5 A pathological lead point is found in 70% to 90% of adult intussusceptions. 1 A primary or secondary malignant lesion is present in about 20% to 50% of cases.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Management of Sigmoidorectal Intussusception

Greenley

Ahmed

Friedman

et al. 2010

JSLS

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“…In most reports, treatment of sigmoidorectal intussusception after the reduction of intussusception by a laparotomy has been reported. However, it is true that cases of successful laparoscopic treatments are rare [7]. …”

Section: Introductionmentioning

confidence: 99%

Laparoscopic Treatment of Adult Sigmoidorectal Intussusception Caused by a Mucinous Adenocarcinoma of the Sigmoid Colon: A Case Report

Lee

Park

Lee

et al. 2011

J Korean Soc Coloproctol

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Intussusception is a rare cause of intestinal obstruction in adult patients, but is common in children. In fact, it accounts for an estimated 1% of all cases of bowel obstruction in adults, although adult intussusception of the large intestine is rare. Sigmoidorectal intussusception, however, is a rare variety with few cases reported in the literature. A mucinous adenocarcinoma, a subtype of adenocarcinoma, is characterized by extracellular mucin production and accounts for between 5% and 15% of the neoplasms of the colon and rectum. Despite the general consensus supporting surgical resections for adult intussuceptions, controversy remains over whether intussuceptions should be reduced before resection. Most cases of colon intussusception should not be reduced before resection because they most likely represent a primary adenocarcinoma. However, prior reduction followed by a resection can be considered for the sigmoidorectal intussusception to avoid inadvertent low rectal cancer sugery. We experienced one case of sigmoidorectal intussusception caused by a mucinous adenocarcinoma of the sigmoid colon in a 79-year-old woman. Abdominal computed tomography demonstrated a sigmoidorectal intussusception. After the end-to-end anastomosis-dilator-assisted reduction, the patient underwent a laparoscopic oncological anterior resection under the impression that a sigmoidorectal intussusception existed. We report a successful laparoscopic anterior resection in a patient with an intussusception caused by a sigmoid malignant tumor.

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Surgical Management of Adult Sigmoid Colon Intussusception Caused by a Malignant Tumor: Report of a Case

Cited by 10 publications

References 12 publications

Adult Intussusception Caused by Descending Colon Cancer during Chemotherapy of Stomach Cancer Recurrence

Adult Intussusception Caused by Descending Colon Cancer during Chemotherapy of Stomach Cancer Recurrence

Laparoscopic Management of Sigmoidorectal Intussusception

Laparoscopic Treatment of Adult Sigmoidorectal Intussusception Caused by a Mucinous Adenocarcinoma of the Sigmoid Colon: A Case Report

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