title: Perforated villous adenoma of the cecum: report of a case.
abstract: Villous adenomas are common neoplasms of the colon, often causing anemia or hemoccult positive stools. Less typically, these lesions may result in abdominal pain, melena, obstruction, or change in bowel habits. Intussusception may occur, but this complication is unusual in adults. Spontaneous bowel perforation attributable to colonic polyps has not been previously reported. We present here the first reported case of an adenomatous polyp with bowel perforation and bladder involvement.
authors.affiliation: Department of Medicine, Hospital of the University of Pennsylvania, Philadelphia, USA.
authors.forename: R D
authors.initials: RD
authors.lastname: Rothstein
authors.forename: J
authors.initials: J
authors.lastname: Shrager
authors.forename: J L
authors.initials: JL
authors.lastname: Rombeau
mesh_terms: D018253:Adenoma, Villous / Q000150:complications*; D018256:Adenomatous Polyps / Q000150:complications*; D002430:Cecal Neoplasms / Q000150:complications*; D003108:Colonic Diseases / Q000209:etiology*; D003110:Colonic Neoplasms / Q000150:complications*; D005260:Female; D006801:Humans; D007416:Intestinal Perforation / Q000209:etiology*; D008875:Middle Aged; D001745:Urinary Bladder Diseases / Q000209:etiology