title: Cecal intussusception in an adult with Cronkhite-Canada syndrome relieved by colonoscopy.
abstract: Cronkhite-Canada syndrome (CCS) is a rare, noninherited gastrointestinal polyposis syndrome associated with characteristic ectodermal abnormalities. Here, we report a case of Cronkhite-Canada syndrome with cecal intussusception relieved by colonoscopy. A 52-year-old man who was diagnosed as CCS pathologically two years previously presented abdominal pain and sub fever-up. Physical examination revealed the palpable mass sized approximate 10 cm in diameter in the upper abdominal site, in addition to the symptoms of alopecia, absent fingernails and toenails. However, abdominal wall rigidity and rebound tenderness were never expressed. Abdominal plain CT showed concentric circles from the ascending to the middle of the transverse colon, and a tumor in the lumen at the middle of the transverse colon. Colonoscopic reduction was performed first because we diagnosed it as intussusception due to CCS polyps without peritoneal irritation, and his symptoms were improved dramatically after careful reduction. Therefore, he was able to undergo the laparoscopic ascending colectomy as scheduled.
authors.affiliation: Division of Gastroenterology and Hepatology, Department of Internal Medicine, Kinki University School of Medicine, Kinki University School of Medicine, Osaka-Sayama, Japan.
authors.forename: Emi
authors.initials: E
authors.lastname: Ishikawa
authors.forename: Masatoshi
authors.initials: M
authors.lastname: Kudo
authors.forename: Yasunori
authors.initials: Y
authors.lastname: Minami
authors.forename: Kazuomi
authors.initials: K
authors.lastname: Ueshima
authors.forename: Satoshi
authors.initials: S
authors.lastname: Kitai
authors.forename: Kazuki
authors.initials: K
authors.lastname: Ueda
mesh_terms: D002429:Cecal Diseases / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D002432:Cecum / Q000473:pathology / Q000601:surgery*; D003113:Colonoscopy; D006801:Humans; D044483:Intestinal Polyposis / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D007443:Intussusception / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D008297:Male; D008875:Middle Aged