Synchronous adenocarcinomas of the colon presenting as synchronous colocolic intussusceptions in an adult

Chen, Chuang-Wei; Lai, Chieh-Wen; Hsiao, Koung-Hong

doi:10.1186/1477-7819-10-272

Cited by 6 publications

(12 citation statements)

References 13 publications

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“…Synchronous colocolic intussusception is extremely rare and has been reported by Chen et al 4 in 2012 in association with synchronous adenocarcinoma in the proximal transverse and sigmoid colon. To the best of our knowledge, no other case report of synchronous colocolic intussusceptions has been reported in the literature and none in association with Peutz–Jeghers syndrome.…”

Section: Discussionmentioning

confidence: 95%

“… 3 CT scan may also define the location, nature of the mass and its relationship to the surrounding tissues; additionally, it may help in disease staging in patients in whom malignancy is the suspected cause of intussusceptions. 4 …”

Section: Discussionmentioning

confidence: 99%

“…However, synchronous intussusception is very rare even in polyposis syndromes, rather recurrent intussusception tends to occur, making screening a very important modality in these syndromes. 4 , 5 Also, colonic intussusception is associated more frequently with a malignant tumour, while small bowel intussusception is associated more frequently with benign lesions. 6 …”

Section: Discussionmentioning

confidence: 99%

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A rare case of synchronous colocolic intussusception in association with Peutz–Jeghers syndrome

et al. 2017

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Adult intussusception is rare and is almost always associated with a lead point. Polyposis syndromes are a common cause of adult intussusceptions, with polyps acting as lead points. Peutz–Jeghers syndrome is associated with benign hamartomatous polyps and mucocutaneous pigmentation. Although hamartomatous polyps are not premalignant, there is an increased risk of gastrointestinal and non-gastrointestinal malignancy, most commonly involving the small bowel. Most patients with Peutz–Jeghers syndrome with acute abdomen are diagnosed to have intussusceptions, mostly of the enteroenteric type. Colocolic intussusceptions are rare in Peutz–Jeghers syndrome. To the best of our knowledge, synchronous colocolic intussusception in association with Peutz–Jeghers syndrome has not been previously reported. Here we present a case of malignant jejunal mass and synchronous colocolic intussusceptions in a patient with Peutz–Jeghers syndrome.

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Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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A rare case of synchronous colocolic intussusception in association with Peutz–Jeghers syndrome

et al. 2017

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“…Several reports have shown that the lead points of colonic intussusception were mostly due to villous or type 1 (protruded type; Bormann's classification type 1) tumors [ 10 , 16 – 20 ]. Chen et al reported synchronous double colocolic intussusception and that both adenocarcinomas revealed macroscopic type 1 or villous adenocarcinomas with subserosal invasion [ 21 ]. In the present case report, we also found that type 1 adenocarcinoma with subserosal invasion resulted in colonic intussusception.…”

Section: Discussionmentioning

confidence: 99%

Intussusception of Rectosigmoid Colon Cancer Mimicking a Pedunculated Tumor

Saigusa

Ohi

Imaoka

et al. 2014

Case Reports in Surgery

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Intussusception in adults is a rare phenomenon involving the colon in approximately 20% of cases. A 65-year-old man was hospitalized with anorexia, anemia, dehydration, and melena. Digital rectal examination revealed a palpable mass approximately 5 cm from the anal verge. The mass moved between the rectosigmoid colon and the rectum below the peritoneal reflection during radiographic examinations and during sigmoidoscopy. We strongly suspected a rectosigmoid pedunculated tumor and performed a low anterior resection. Intraoperatively we observed intussusception of the rectosigmoid colon with easy manual reduction. The tumor was palpable in the rectosigmoid colon. The postoperative course was uneventful. This case illustrates intussusception of a rectosigmoid type 1 colon adenocarcinoma mimicking a pedunculated tumor.

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“…It is rare in adults, and it represents only 5% of all intussusceptions and 1-5% of all bowel obstruction cases [1,2,[4][5][6][7][8][9][10][11][12]. Unlike pediatric patients in whom it is generally idiopathic, in adults, over 90% are due to an established pathology [1,7,8]. We present a case of a patient with ileocecal intussusception secondary to a colon adenocarcinoma.…”

Section: Introductionmentioning

confidence: 99%

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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Synchronous adenocarcinomas of the colon presenting as synchronous colocolic intussusceptions in an adult

Cited by 6 publications

References 13 publications

A rare case of synchronous colocolic intussusception in association with Peutz–Jeghers syndrome

A rare case of synchronous colocolic intussusception in association with Peutz–Jeghers syndrome

Intussusception of Rectosigmoid Colon Cancer Mimicking a Pedunculated Tumor

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

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