[A case of adult intussusceptions with multiple colon cancer].
A 64-year-old woman visited our outpatient clinic because of bloody stools and abdominal fullness. Digital rectal examination revealed a 6 x 4-cm oval mass. Abdominal CT scans demonstrated a concentric, multilayered structure in the rectum. Colonoscopy showed segments of the bowel were dark-purplish, and intussusception. Deeper insertion of the colonoscope through the lumen revealed a type 1 lesion. Under a diagnosis of sigmoid colon cancer with intrarectal intussusception, emergency surgery was performed. The resected specimen showed a type 1 advanced cancer and two early cancers at the base of the intussuscepted colon, all of which appear to have contributed to the intussusception.
Kaida
Shogo
S
Department of Gastroenterology, Tokyo Dental College, Ichikawa General Hospital. skaida@tdc.ac.jp
Nishida
Jiro
J
Kishikawa
Hiroshi
H
Ichikawa
Hitoshi
H
Morishita
Tetsuo
T
Takayama
Shin
S
Sato
Michio
M
D005260:Female; D006801:Humans; D007443:Intussusception / Q000209:etiology* / Q000601:surgery; D008875:Middle Aged; D012004:Rectal Neoplasms / Q000150:complications*