Cecorectal intussusception induced by a cecal hamartoma.
Cecorectal intussusception, a variant form of intussusception, occurs when the cecum enters through the entire course of colon and reaches to the rectum. This condition is rare but often associated with a pathologic lead point. Here, we report a 13-year-old boy, featuring insidious abdominal discomfort and constipation for 1 month, who developed cecorectal intussusception. Before surgical intervention, multi-detector row computed tomography with reconstructed images demonstrated the route of cecorectal intussusception and identified a cecal fat-containing tumor as the lead point. The patient received surgical reduction with resection of the cecal tumor. Final pathological diagnosis was a hamartoma of the cecum. The relevant literature pertaining to this condition is reviewed, and the possible pathophysiology of the condition discussed.
Chen
Yen-Lin
YL
Department of Radiology, Tri-Service General Hospital, Taipei, Taiwan, Republic of China.
Yu
Chih-Yung
CY
Liu
Chang-Hsien
CH
Yang
Deng-Ho
DH
Huang
Guo-Shu
GS
Chang
Wei-Chou
WC
D000293:Adolescent; D002429:Cecal Diseases / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D002432:Cecum / Q000000981:diagnostic imaging / Q000601:surgery; D005500:Follow-Up Studies; D006222:Hamartoma / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D007443:Intussusception / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D008297:Male; D012002:Rectal Diseases / Q000000981:diagnostic imaging / Q000209:etiology*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome