title: Synchronous adenocarcinomas of the colon presenting as synchronous colocolic intussusceptions in an adult.
abstract: Intussusception is uncommon in adults. To our knowledge, synchronous colocolic intussusceptions have never been reported in the literature. Here we described the case of a 59-year-old female of synchronous colocolic intussusceptions presenting as acute abdomen that was diagnosed by CT preoperatively. Laparotomy with radical right hemicolectomy and sigmoidectomy was undertaken without reduction of the invagination due to a significant risk of associated malignancy. The final diagnosis was synchronous adenocarcinoma of proximal transverse colon and sigmoid colon without lymph nodes or distant metastasis. The patient had an uneventful recovery. The case also emphasizes the importance of thorough exploration during surgery for bowel invagination since synchronous events may occur.
authors.affiliation: Division of Colon and Rectal Surgery, Department of Surgery, Buddhist Tzu Chi General Hospital, No.289, Jianguo Rd,, Sindian City, Taipei County, 231, Taiwan (R,O,C).
authors.forename: Chuang-Wei
authors.initials: CW
authors.lastname: Chen
authors.forename: Chieh-Wen
authors.initials: CW
authors.lastname: Lai
authors.forename: Koung-Hong
authors.initials: KH
authors.lastname: Hsiao
mesh_terms: D000230:Adenocarcinoma / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D003108:Colonic Diseases / Q000175:diagnosis / Q000601:surgery*; D003110:Colonic Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D007443:Intussusception / Q000175:diagnosis / Q000601:surgery*; D008875:Middle Aged; D014057:Tomography, X-Ray Computed