[Capillary hemangioma of the colon as a rare cause of intussusception in adults].
METHODS
A 39-year-old patient presented with a history of constipation, abdominal pain and nausea. Magnetic resonance imaging showed a colonic tumour. Biopsy of the tumour did not reveal the diagnosis.


METHODS
The abdomen was tense on palpation and inflammation parameters were elevated. On abdominal x-ray signs of obstructive colonic ileus could be seen. Endoscopic investigation revealed a tumorous stricture of the transverse colon presenting as intussusception with cockade phenomenon during sonography.


METHODS
Because of obstructive ileus laparotomy was performed with extended right hemicolectomy and end-to-end ileotransversostomy. Histology showed the rare finding of colonic intussusception due to a capillary hemangioma. Post-operative clinical course was normal without any further signs or symptoms of systemic disease.


CONCLUSIONS
Intussusception in adult patients can be a rare complication due to gastrointestinal hemangioma. Endoscopy and radiologic imaging may help to establish diagnosis. Surgical resection of the involved bowel segment seems to be a safe and effective treatment. Nevertheless congenital disease must be excluded to prevent further complications.
Gesslein
M
M
Chirurgische Klinik Waldkrankenhaus St. Marien, Erlangen. mgesslein@aol.com
Koscheck
T
T
Kusch
B
B
D000328:Adult; D001706:Biopsy; D003082:Colectomy; D003106:Colon / Q000000981:diagnostic imaging / Q000473:pathology; D003108:Colonic Diseases / Q000209:etiology*; D003110:Colonic Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D003113:Colonoscopy; D003937:Diagnosis, Differential; D018324:Hemangioma, Capillary / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D007443:Intussusception / Q000209:etiology*; D008279:Magnetic Resonance Imaging; D008297:Male; D011859:Radiography; D014463:Ultrasonography
Kapilläres Hämangiom des Kolon als seltene Ursache einer Invagination beim Erwachsenen.