[Differential diagnosis of morbus Crohn disease: intussusception of the colon].
We report on a 35-year old women with severe abdominal pain, cramps, diarrhea with blood and a palpable paraumbilical resistance. The symptoms appeared a few days before admission and were recurrent within the last two years. The abdominal ultrasound showed a target sign with a thickened wall from the right to the left colon flexure with inhomogeneous reflexes. The CT-scan and barium enema showed an intussusception of the colon. After hemicolectomy of the right colon a 6 x 4 x 4 cm exophytic tumor near the ileocoecal valve was detected. Histologically the tumor was diagnosed as adenocarcinoma of the coecum (pT2pNOpMX G2).
Arkenau
H-T
HT
Klinik für Innere Medizin, Zentralkrankenhaus Bremen-Ost, Bremen. harkenau@zkhost.bremen.de
Kruse
F
F
Jend
H H
HH
Porschen
R
R
D000230:Adenocarcinoma / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D000328:Adult; D002430:Cecal Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D003082:Colectomy; D003113:Colonoscopy; D003424:Crohn Disease / Q000175:diagnosis*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007080:Ileocecal Valve; D007443:Intussusception / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D010535:Laparoscopy; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography