Adult Colonic Intussusception: A Case Report.

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概要

• 論文の詳細を見る

• Intussusception accounts for almost all cases of intestinal obstruction in children. In contrast, intussusception in adults is relatively rare. An 86-year-old Japanese female with rectal bleeding came to our hospital via ambulance. At first, colonoscopy findings revealed the sigmoid colon cancer. Ultrasonography showed a hypoechoic mass with a multiple concentric ring sign. Computed tomography showed a round fluid-filled cystic structure. Colon contrast studies demonstrated stenosis in the rectosigmoid colon. A laparotomy was performed. The sigmoid colon was intussuscepted to the rectosigmoid colon. We employed both rectosigmoid and sigmoid colon resection. The resected specimen showed that the disease was advanced sigmoid colon cancer with ulcer formation due to an ischemic change. Tumor was 4.5 cm×2.0 cm in size. The disease was histopathologically diagnosed as advanced sigmoid colon cancer, well-differentiated adenocarcinoma. We report here a case of adult intussusception due to the sigmoid colon cancer.

• 久留米大学医学部 The Kurume Medical Journal 編集部の論文

著者

• Horiuchi Hiroyuki

  Department Of Agricultural Chemistry The University Of Tokyo

• Tanaka Toshiaki

  Department Of Applied Chemistry Tokyo Institute Of Technology

• Shirouzu Kazuo

  Department Of Surgery Kurume University

• Sasatomi Teruo

  Department Of Surgery Kurume University School Of Medicine

• NOZOE YASUHIRO

  Department of Surgery, Kurume University School of Medicine

• NOAKE TOSHIHIRO

  Department of Surgery, Kurume University School of Medicine

• TSUJI YOSHIAKI

  Fukuoka Prefectural Asakura Hospital Hepato-gastroenterology Center

• ORIISHI TETSUHARU

  Medicine Kurume University School of Medicine

• SASATOMI TERUO

  Departments of Surgery Kurume University School of Medicine

• HORIUCHI HIROYUKI

  Departments of Surgery Kurume University School of Medicine

• NAKANO RYOICHI

  Medicine Kurume University School of Medicine

• TAKEUCHI KIYOAKI

  Fukuoka Prefectural Asakura Hospital Hepato-gastroenterology Center

• SHIROUZU KAZUO

  Department of Gastroenterology and Surgery, Kurume University School of Medicine

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