[A case of intussusception due to sigmoid colon cancer during mFOLFOX6 therapy].
We experienced a rare case of intussusception due to sigmoid colon cancer during chemotherapy. A-62-year-old female was started on mFOLFOX6 due to sigmoid colon cancer and hepatic metastases(stage IV). After 2 courses, she had abdominal pain and bloody stool. Abdominal ultrasonography showed a target sign, and abdominal CT showed edema of the mucosa of the sigmoid colon and invagination. She was diagnosed with intussusception due to sigmoid colon cancer, and underwent a bloodless reduction. However, because it was unavailable, we performed an emergency operation. The sigmoid colon invaginated 10 cm to the anal side. We then performed sigmoidectomy and lymphadenectomy(D2). The histopathological diagnosis was mucinous carcinoma, stage I. There was no report of intussusception with the chemotherapy. It is important to consider the intussusception of colon cancer even during chemotherapy.
Dept. of Surgery, Social Insurance Yokohama Central Hospital, Japan.
Kazutoshi
K
Kida
Atsushi
A
Kawasaki
Kenji
K
Mimatsu
Nobutada
N
Fukino
Youichi
Y
Kuboi
Hisao
H
Kano
Takatsugu
T
Oida
D000971:Antineoplastic Combined Chemotherapy Protocols / Q000009:adverse effects / Q000627:therapeutic use*; D005260:Female; D005472:Fluorouracil / Q000009:adverse effects / Q000627:therapeutic use; D006801:Humans; D007443:Intussusception / Q000209:etiology* / Q000601:surgery; D002955:Leucovorin / Q000009:adverse effects / Q000627:therapeutic use; D008113:Liver Neoplasms / Q000188:drug therapy / Q000556:secondary; D008875:Middle Aged; D009944:Organoplatinum Compounds / Q000009:adverse effects / Q000627:therapeutic use; D012810:Sigmoid Diseases / Q000209:etiology* / Q000601:surgery; D012811:Sigmoid Neoplasms / Q000150:complications* / Q000188:drug therapy* / Q000473:pathology / Q000601:surgery
D009944:Organoplatinum Compounds; D002955:Leucovorin; D005472:Fluorouracil