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Benign bowel disease
A case report of impacted fecalith within mucosal pouch: an unusual cause of colocolic intussusception
Douglas Greer, Adrian Fernandez
Ann Coloproctol. 2024;40(Suppl 1):S15-S17.   Published online November 18, 2021
DOI: https://doi.org/10.3393/ac.2021.00724.0103
  • 5,222 View
  • 99 Download
AbstractAbstract PDF
Intussusception involving the colon is unusual in adults and when present is managed with resection due to the risk of malignancy. We present an unusual case where the intussusceptum was impacted stool in a mucosal pouch in the transverse colon. The patient presented with bleeding per rectum and abdominal pain and was found to have a colocolic intussusception on computed tomography. Colonoscopy showed an ulcerated mass in the transverse colon. A laparoscopic right hemicolectomy was performed. Histopathology demonstrated known chronic lymphocytic leukemia, but not solid malignancy. A large fecalith impacted within a mucosal pouch had acted as the lead point. This represents a highly unusual but benign cause of intussusception.
Multiple gastrointestinal melanoma causing small bowel intussusception
Jian Yang Eng, Salehah Tahkin, Huzairi Yaacob, Nor Hayati Yunus, Ahmad Shan Wani Mohamed Sidek, Michael Pak-Kai Wong
Ann Coloproctol. 2023;39(1):85-88.   Published online July 21, 2021
DOI: https://doi.org/10.3393/ac.2021.00143.0020
  • 4,078 View
  • 139 Download
  • 1 Web of Science
  • 2 Citations
AbstractAbstract PDF
A 61-year-old gentleman presented with small bowel intussusception from small bowel melanoma intussusceptum. He complains of intermittent abdominal distension but no history of intestinal obstruction. Apart from this, he was also symptomatic anemia which required repeated transfusion for the past few months. The contrast-enhanced computed tomography of the abdomen shows an omental mass with small bowel intussusception. He then underwent an exploratory laparotomy with segmental resection of the affected segment. Histopathological examination confirmed primary gastrointestinal melanoma. Multiple small bowel malignant melanoma is a rare disease. It remains a controversial diagnosis as it may be a primary or metastasis from an unidentified or regressed primary cutaneous melanoma. Prompt surgical intervention enables us to obtain tissue diagnosis, prevent complete intestinal obstruction and strategize the goals of treatment for the patient.

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Citations to this article as recorded by  
  • Small bowel melanoma causing obstruction: A case report and a literature review
    Ammar Mattit, Ibrahim Marrawi, Safouh Kheir, Taha Khamis, Safaa Qatleesh, Muhammad Ali Ousta
    International Journal of Surgery Case Reports.2024; 116: 109388.     CrossRef
  • Epidemiology and outcomes of gastrointestinal mucosal melanomas: a national database analysis
    Niraj James Shah, Mark M. Aloysius, Eldrin Bhanat, Shweta Gupta, Ganesh Aswath, Savio John, Shou-Jiang Tang, Hemant Goyal
    BMC Gastroenterology.2022;[Epub]     CrossRef
Benign GI diease,Benign diesease & IBD
Ileocolonic intussusception caused by epithelioid leiomyosarcoma of the ileum: a report of case and review of the literature
Han-Gil Kim, Jung Wook Yang, Soon-Chan Hong, Young-Tae Ju, Chi-Young Jeong, Ju-Yeon Kim, Ji-Ho Park, Jin-Kwon Lee, Jae-Myung Kim, Jin-Kyu Cho, Seung-Jin Kwag
Ann Coloproctol. 2022;38(2):176-180.   Published online May 28, 2021
DOI: https://doi.org/10.3393/ac.2020.12.08
  • 3,401 View
  • 172 Download
  • 2 Web of Science
  • 2 Citations
AbstractAbstract PDF
Small intestinal malignant tumor accounts for about 3% of all malignant tumors in the gastrointestinal tract, among which 13% are leiomyosarcoma (LMS). In addition, epithelioid LMS is of very rare occurrence. As small intestinal malignant tumors are initially asymptomatic and nonspecific, diagnosis is often delayed, and this can lead to large tumor at the time of detection and lead to intussusception. We observed ileocolonic intussusception in an 80-year-old male patient who was admitted to the hospital with a complaint of abdominal pain and palpable mass on right lower quadrant. The laparoscopic ileocecectomy was performed by the emergency operation because of obstruction. The pathologic examination revealed that the epithelioid LMS developed in the terminal ileum was the leading point of intussusception. To the best of our knowledge, laparoscopic surgery for ileocolonic intussusception with epithelioid LMS has not yet been reported.

Citations

Citations to this article as recorded by  
  • Ileum intussusception secondary to submucosal liposarcoma in adult:A case report
    Hong-wei Yu, Jin-gang Yan, Lei Zheng, Jun-hua Huang
    Heliyon.2024; 10(1): e23432.     CrossRef
  • Current landscape of primary small bowel leiomyosarcoma: cases report and a decade of insights
    Junjie Zhou, Houyun Xu, Jibo Hu, Qiang Hong, Xiping Yu, Wei Liu, Jiaxin Zhao, Hongjie Hu
    Frontiers in Oncology.2024;[Epub]     CrossRef
Salmonella enteritis: A Rare Cause of Adult Intussusception
Toan Pham, Domenic La Paglia, Meron Pitcher
Ann Coloproctol. 2017;33(5):201-203.   Published online October 31, 2017
DOI: https://doi.org/10.3393/ac.2017.33.5.201
  • 4,815 View
  • 29 Download
  • 2 Web of Science
  • 2 Citations
AbstractAbstract PDF

Intussusception is a relatively rare condition in the adult population and is commonly secondary to a malignant process. Eight to twenty percent of cases of adult intussusception are thought to be idiopathic. In children, infection has been proven to precipitate intussusception in the absence of any other cause. We present a rare case of intussusception in a healthy adult patient secondary to salmonella infection and discuss infection as a potential explanation for a proportion of the cases of adult intussusception that are thought to be idiopathic. We recommend testing for infective causes of intussusception in adults when more common causes, such as malignancy, have been excluded.

Citations

Citations to this article as recorded by  
  • Point-of-Care Ultrasound May Reduce Misdiagnosis of Pediatric Intussusception
    Hsiang-Ju Hsiao, Chao-Jan Wang, Chien-Chung Lee, Yi-Chen Hsin, Sze-Yuen Yau, Shih-Yen Chen, Wan-Chak Lo, Patricia-Wanping Wu, Chyi-Liang Chen, Yi-Jung Chang
    Frontiers in Pediatrics.2021;[Epub]     CrossRef
  • Successful laparoscopic approach for idiopathic adult colo-colonic intussusception: a case report
    Kyota Tatsuta, Mayu Sakata, Kosuke Sugiyama, Toshiya Akai, Katsunori Suzuki, Yuhi Suzuki, Takafumi Kawamura, Yoshifumi Morita, Hirotoshi Kikuchi, Yoshihiro Hiramatsu, Kiyotaka Kurachi, Hiroya Takeuchi
    Surgical Case Reports.2020;[Epub]     CrossRef
Inflammatory Fibroid Polyp in the Jejunum Causing Small Bowel Intussusception
Sung Hoon Kang, Seok Won Kim, Hee Seok Moon, Jae Kyu Sung, Hyun Yong Jeong, Jin Su Kim, Gyu Sang Song
Ann Coloproctol. 2015;31(3):106-109.   Published online June 30, 2015
DOI: https://doi.org/10.3393/ac.2015.31.3.106
  • 4,666 View
  • 51 Download
  • 7 Web of Science
  • 11 Citations
AbstractAbstract PDF

Intussusceptions are defined as the telescoping of one segment of the gastrointestinal tract into an adjacent distal segment. In the small bowel, intussusceptions are typically caused by benign processes, but can occasionally be caused by inflammatory fibroid polyps, which often present as intussusception and bowel obstruction. These polyps are rare, benign, tumorous lesions in the gastrointestinal tract and are typically observed in the stomach, but can occur anywhere in the gastrointestinal tract. Any case of a jejunojejunal intussusception caused by inflammatory fibroid polyps is considered rare, and we report the case of a 51-year-old woman with an inflammatory fibroid polyp of the jejunum presenting as an intussusception who was successfully treated with a resection.

Citations

Citations to this article as recorded by  
  • PÓLIPO FIBROSO INFLAMATÓRIO EM TRATO GASTROINTESTINAL, UM DIAGNÓSTICO DIFERENCIAL DE INTUSSUSCEPÇÃO INTESTINAL EM ADULTO: RELATO DE CASO E REVISÃO
    Raul Valério Ponte, Priscila Ferreira de Lima e Souza, Raíra Marques Oliveira, Bruna Viana Teles Rebouças, Sarah Mombach de Arruda, Isabella Siqueira Oliveira, Kalyne Saraiva Fontenele de Araújo, Maria Eduarda Lima Lobão Maia
    Revista Contemporânea.2024; 4(9): e5834.     CrossRef
  • Jejunal Intussusception Secondary to a Large Inflammatory Fibroid Polyp: A Case Report and Discussion of Differential Diagnosis
    Asma Khalid Abu-Salah, Eric Brocken, Hector Mesa, Katrina Collins, Mirella Marino
    Case Reports in Pathology.2023; 2023: 1.     CrossRef
  • Inflammatory fibroid polyp (Vanek's tumor) causing double compound ileo-ileal intussusception in an adult patient, a case report
    Ahmed Gadoura, Farah Mohammed, Mohamed Abdulkarim, Ammar Ibn Yasir, Dafalla Shani, Nadir Salih
    International Journal of Surgery Case Reports.2022; 93: 106947.     CrossRef
  • Adult intussusception due to ileal polyp - A case report
    Tahmina Hakim
    International Journal of Surgery Case Reports.2022; 99: 107554.     CrossRef
  • Ileal Intussusception in an Adult Caused by a Locally Invasive Inflammatory Fibroid Polyp: A Case Report
    Luiz M. Nova, Paul Lopez, Clara Cerezo, Concepción Llanos, Irene Amat
    Revista Española de Patología.2021; 54(1): 65.     CrossRef
  • Adult Jejuno-jejunal intussusception due to inflammatory fibroid polyp
    Yi-Kai Kao, Jian-Han Chen
    Medicine.2020; 99(36): e22080.     CrossRef
  • Adult Jejuno-Jejunal Intussusceptions due to Gastrointestinal Stromal Tumor
    Jayabal Pandiaraja
    Indian Journal of Medical and Paediatric Oncology.2020; 41(04): 602.     CrossRef
  • Laparoscopic Resection of a Jejunal Inflammatory Fibroid Polyp that Caused Occult Gastrointestinal Bleeding, Diagnosed via Capsule Endoscopy and Double-Balloon Enteroscopy: A Case Report
    Chizu Kameda, Hideaki Miwa, Ryohei Kawabata, Daiki Marukawa, Masahiro Murakami, Shingo Noura, Junzo Shimizu, Junichi Hasegawa
    Clinical Endoscopy.2018; 51(4): 384.     CrossRef
  • Inflammatory fibroid polyps of the appendix: different presentation and literature review
    Ibrahim Albabtain, Hassan Arishi, Slava Albaghli, Jumanah Aljahani
    Journal of Surgical Case Reports.2018;[Epub]     CrossRef
  • Pólipo fibroideo inflamatorio del tracto gastrointestinal: 10 años de experiencia del Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán
    A.F. Romano-Munive, R. Barreto-Zuñiga, J.A. Rumoroso-García, P. Ramos-Martínez
    Revista de Gastroenterología de México.2016; 81(3): 134.     CrossRef
  • Inflammatory fibroid polyp of the gastrointestinal tract: 10 years of experience at the Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán
    A.F. Romano-Munive, R. Barreto-Zuñiga, J.A. Rumoroso-García, P. Ramos-Martínez
    Revista de Gastroenterología de México (English Edition).2016; 81(3): 134.     CrossRef
Surgical Strategy for Colonic Intussusception Caused by a Giant Colonic Lipoma: A Report of Two Cases and a Review of the Literature
Seung-Jin Kwag, Sang-Kyung Choi, Eun-Jung Jung, Chi-Young Jung, Sang-Ho Jung, Tae-Jin Park, Young-Tae Ju
Ann Coloproctol. 2014;30(3):147-150.   Published online June 23, 2014
DOI: https://doi.org/10.3393/ac.2014.30.3.147
  • 5,782 View
  • 61 Download
  • 6 Web of Science
  • 5 Citations
AbstractAbstract PDF

A colon lipoma is a remarkably rare tumor. In most cases, the tumors are asymptomatic and small in size, need to be differentiated from malignant tumors, and do not need any special treatment. Selection of the right surgical strategy depends on the status of bowel, as well as the size and the location of tumor. We encountered two patients with giant submucosal lipomas that had induced intussusceptions: one with a lipoma in the transverse colon and the other with a lipoma in the ascending colon. The diagnoses were made by using histological examinations. We report the clinical features, diagnoses, and treatments of, as well as our experience with, these two uncommon cases, and we present a review of the literature on this subject.

Citations

Citations to this article as recorded by  
  • Pedunculated colonic lipoma causing adult colo-colic intussusception: A case report and literature review
    Dhouha Bacha, Neirouz Kammoun, Ines Mallek, Lassad Gharbi, Ahlem Lahmar, Sana Ben Slama
    International Journal of Surgery Case Reports.2024; 123: 110242.     CrossRef
  • Sizzling Fat—Curative Endoscopic Resection of a Giant Lipoma Causing Colo-Colic Intussusception
    Chiara Eberspacher, Stefano Arcieri, Augusto Lauro, Rossella Palma, Enrico Coletta, Francesco Leone Arcieri, Domenico Mascagni, Stefano Pontone
    Digestive Diseases and Sciences.2023; 68(11): 4123.     CrossRef
  • Colon lipoma causing intussusception in adults: literature review
    Antonio LO CASTO, Marta FARINELLA, Crispino R. TOSTO, Emanuela FARINELLA, Alessandro MASSARA, Vito RODOLICO
    Journal of Radiological Review.2022;[Epub]     CrossRef
  • A case of colonic intussusception and obstruction secondary to giant colonic lipoma
    Yi Ying Law, Rhea Patel, Marianne Cusick, Jeffrey L Van Eps
    Journal of Surgical Case Reports.2020;[Epub]     CrossRef
  • Curative endoscopic treatment of intussusception due to a giant colonic lipoma using a wedged balloon and ligation with detachable snares
    Masahiro Okada, Hirotsugu Sakamoto, Yoshikazu Hayashi, Tomonori Yano, Satoshi Shinozaki, Keijiro Sunada, Alan Kawarai Lefor, Hironori Yamamoto
    Clinical Journal of Gastroenterology.2019; 12(4): 320.     CrossRef
Giant Ascending Colonic Diverticulum Presenting With Intussusception
Ho Jin Kim, Jin Ha Kim, Ok In Moon, Kyung Jong Kim
Ann Coloproctol. 2013;29(5):209-212.   Published online October 31, 2013
DOI: https://doi.org/10.3393/ac.2013.29.5.209
  • 3,818 View
  • 54 Download
  • 10 Citations
AbstractAbstract PDF

Diverticular disease of the colon is a common disease, and its incidence is increasing gradually. A giant colonic diverticulum (GCD) is a rare entity and is defined as a diverticulum greater than 4 cm in size. It mainly arises from the sigmoid colon, and possible etiology is a ball-valve mechanism permitting progressive enlargement. A plain abdominal X-ray can be helpful to make a diagnosis initially, and a barium enema and abdominal computed tomography may confirm the diagnosis. Surgical intervention is a definite treatment for a GCD. We report a case of an ascending GCD presenting with intussusception in a young adult.

Citations

Citations to this article as recorded by  
  • Intussusception secondary to retroflexion of a proximal jejunal diverticulum, leading to Type 3 vagal indigestion with severe hypochloraemia in an adult Simmental bull (Bos taurus)
    Liam A. Wilson, Rob F. Kelly, Adrian W. Philbey
    Veterinary Record Case Reports.2024;[Epub]     CrossRef
  • A case report of impacted fecalith within mucosal pouch: an unusual cause of colocolic intussusception
    Douglas Greer, Adrian Fernandez
    Annals of Coloproctology.2024; 40(Suppl 1): S15.     CrossRef
  • Popping the Balloon: A Giant Colonic Diverticulum Complicated by Bladder Neck Compression
    M. C. Ripoli, A. Lauro, S. Vaccari, G. Mastrocola, A. Lanci-Lanci, V. D’Andrea, I. R. Marino, M. Cervellera, V. Tonini
    Digestive Diseases and Sciences.2021; 66(1): 41.     CrossRef
  • Laparoscopic resection of a giant colonic diverticulum – the ‘lifting balloon’ sign – a video vignette
    C. Rodríguez‐Otero Luppi, M. Rodríguez Blanco, J. Bollo Rodríguez, A. Méndez, J. Merlo Más
    Colorectal Disease.2019; 21(9): 1096.     CrossRef
  • Intussusception caused by an inverted colonic diverticulum: a case report
    Bei Zhang, Jiping Wang, Xiaoguang Li, Zhuo Wang, Yangjiao Zhang, Hao Yang
    Journal of Medical Case Reports.2018;[Epub]     CrossRef
  • Adult intussusception secondary to diverticular disease
    Habib Syed, Labib Syed, Umesh Parampalli, Mokhtar Uheba
    BMJ Case Reports.2018; : bcr-2018-226678.     CrossRef
  • Laparoskopische Resektion eines Riesenkolondivertikels
    P. J. Roch, T. Friedrich, R. Bönninghoff, D. Dinter, A. Rickert
    Der Chirurg.2017; 88(8): 682.     CrossRef
  • Giant colonic diverticulum: radiographic and MDCT characteristics
    Abdel-Rauf Zeina, Ahmad Mahamid, Alicia Nachtigal, Itamar Ashkenazi, Mika Shapira-Rootman
    Insights into Imaging.2015; 6(6): 659.     CrossRef
  • Giant colonic diverticulum: Clinical presentation, diagnosis and treatment: Systematic review of 166 cases
    Giuseppe Nigri
    World Journal of Gastroenterology.2015; 21(1): 360.     CrossRef
  • Giant Colonic Diverticulum: a Rare Diagnostic and Therapeutic Challenge of Diverticular Disease
    Ryan Macht, Holly K. Sheldon, P. Marco Fisichella
    Journal of Gastrointestinal Surgery.2015; 19(8): 1559.     CrossRef
Laparoscopic Surgery for an Intussusception Caused by a Lipoma in the Ascending Colon
Dong-Nyoung Son, Ho-Geun Jung, Dong-Yeop Ha
Ann Coloproctol. 2013;29(2):80-82.   Published online April 30, 2013
DOI: https://doi.org/10.3393/ac.2013.29.2.80
  • 3,515 View
  • 30 Download
  • 3 Citations
AbstractAbstract PDF

A colonic intussusception caused by an intraluminal lipoma is a rare disease in adults, in whom it usually has a definite organic cause. In fact, it is either caused by a benign or a malignant condition, both of which occur at similar rates. However, little literature is available on laparoscopic procedures for use in cases of adult colonic intussusceptions. Recently, a 52-year-old woman was admitted to our hospital with abdominal pain of one-month duration. Abdominal computed tomography showed an intussusception with a fat-containing mass in the right hepatic area. Colonoscopy showed a colon lumen occupied by the mass. A right hemicolectomy was performed laparoscopically, and the cause of the intussusception was found to be a lipoma. Before obtaining histological confirmation, we carefully perform a laparoscopic procedure, which required consideration of the relations between the involved colonic segment and other conditions such as the location of main vessels, the anatomical exposure with respect to colonic mobilization and the location of specimen retrieval.

Citations

Citations to this article as recorded by  
  • Colon lipoma causing intussusception in adults: literature review
    Antonio LO CASTO, Marta FARINELLA, Crispino R. TOSTO, Emanuela FARINELLA, Alessandro MASSARA, Vito RODOLICO
    Journal of Radiological Review.2022;[Epub]     CrossRef
  • Laparoscopic management of an octogenarian adult intussusception caused by an ileal lipoma suspected preoperatively: a case report
    Jiro Shimazaki, Takeshi Nakachi, Takanobu Tabuchi, Shuji Suzuki, Hideyuki Ubukata, Takafumi Tabuchi
    World Journal of Surgical Oncology.2015; 13(1): 75.     CrossRef
  • Lipomas of the Colon: A Surgical Challenge
    Ketan Vagholkar, Mahendra Bendre
    International Journal of Clinical Medicine.2014; 05(06): 309.     CrossRef
Adult Intussusception due to Cecal Lymphangioma: A Case Report
Dong Il Kim, Hyung Il Seo, Jae Hun Kim, Hyun Sung Kim, Hong Jae Jo
J Korean Soc Coloproctol. 2011;27(2):99-101.   Published online April 30, 2011
DOI: https://doi.org/10.3393/jksc.2011.27.2.99
  • 3,583 View
  • 30 Download
  • 7 Citations
AbstractAbstract PDF

We present a rare case of adult intussusception due to cecal lymphangioma. A 30-year-old female was admitted to our hospital with abdominal pain and a palpatable mass on the right lower quadrant. Preoperative radiologic studies by ultrasound and computed tomography showed ileocolic intussusception with a multiseptated cystic tumor as a leading point on the cecum. An ileocecectomy was performed, and the postoperative course was uneventful. Histopathology showed a cecal lymphangioma. Although endoscopic polypectomy or endoscopic mucosal resection is recommended for pedunculated or semi-pedunculated colonic lymphangiomas less than 2 cm in size, it is proper to treat large or symptomatic colonic lymphangiomas with limited a bowel resection or a tumor resection.

Citations

Citations to this article as recorded by  
  • An Incidental Finding of a Cecal Lymphangioma Managed Conservatively
    Richard Mitchell, Jonathan Reyes, Vennis Lourdusamy, Raghav Bansal
    Cureus.2024;[Epub]     CrossRef
  • A Case of Colonic Intussusception Caused by Cecal Lymphangioma and Requiring Emergency Surgery
    Mitsutoshi Okuda, Takahiro Yoshioka, Ryosuke Tsunemitsu, Hiroaki Inoeu, Ryo Inada
    Cureus.2024;[Epub]     CrossRef
  • Cystic Lymphangioma of Rectum-A Case Report and Review of Literature
    Govindraj S Dessai, Nikhil Kumar Soni, Sharvari Pujari, Ramkrishna Prabhu, Chetan V Kantharia
    The Korean Journal of Gastroenterology.2023; 82(2): 91.     CrossRef
  • Cystic lymphangioma causing intussusception of the right colon: a case report and review of current literature
    Jae Hyun Park, Jesung Park, Ga Yoon Ku, Do Kyoon Moon, Jong Sung Ahn, Hyo Jun Kim, Min Jung Kim, Ji Won Park, Seung-Bum Ryoo, Seung-Yong Jeong, Kyu Joo Park
    Journal of Surgical Case Reports.2023;[Epub]     CrossRef
  • Imaging features, complications and differential diagnoses of abdominal cystic lymphangiomas
    M. Raufaste Tistet, O. Ernst, M. Lanchou, M. Vermersch, P. Lebert
    Abdominal Radiology.2020; 45(11): 3589.     CrossRef
  • Colonic lymphangioma presenting with intermittent pain and intussusception
    Mark M G Ly, Marie Shella De Robles, Catriona Mckenzie, Christopher J Young
    Journal of Surgical Case Reports.2019;[Epub]     CrossRef
  • A Case of Adult Intussusception Secondary to Lymphangioma of the Cecum
    Seong Wook Hwang
    Soonchunhyang Medical Science.2019; 25(2): 139.     CrossRef
Laparoscopic Treatment of Adult Sigmoidorectal Intussusception Caused by a Mucinous Adenocarcinoma of the Sigmoid Colon: A Case Report
Seok Youn Lee, Won Cheol Park, Jeong Kyun Lee, Dong Baek Kang, Young Kim, Ki Jung Yun
J Korean Soc Coloproctol. 2011;27(1):44-49.   Published online February 28, 2011
DOI: https://doi.org/10.3393/jksc.2011.27.1.44
  • 4,658 View
  • 55 Download
  • 3 Citations
AbstractAbstract PDF

Intussusception is a rare cause of intestinal obstruction in adult patients, but is common in children. In fact, it accounts for an estimated 1% of all cases of bowel obstruction in adults, although adult intussusception of the large intestine is rare. Sigmoidorectal intussusception, however, is a rare variety with few cases reported in the literature. A mucinous adenocarcinoma, a subtype of adenocarcinoma, is characterized by extracellular mucin production and accounts for between 5% and 15% of the neoplasms of the colon and rectum. Despite the general consensus supporting surgical resections for adult intussuceptions, controversy remains over whether intussuceptions should be reduced before resection. Most cases of colon intussusception should not be reduced before resection because they most likely represent a primary adenocarcinoma. However, prior reduction followed by a resection can be considered for the sigmoidorectal intussusception to avoid inadvertent low rectal cancer sugery. We experienced one case of sigmoidorectal intussusception caused by a mucinous adenocarcinoma of the sigmoid colon in a 79-year-old woman. Abdominal computed tomography demonstrated a sigmoidorectal intussusception. After the end-to-end anastomosis-dilator-assisted reduction, the patient underwent a laparoscopic oncological anterior resection under the impression that a sigmoidorectal intussusception existed. We report a successful laparoscopic anterior resection in a patient with an intussusception caused by a sigmoid malignant tumor.

Citations

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  • Laparoscopic Reduction of Sigmoidorectal Intussusception by a Modified Hutchinson’s Maneuver
    Haruna Onoyama, Takashi Nakamura, Yuka Ahiko, Naoki Sakuyama, Susumu Aikou, Dai Shida
    Indian Journal of Surgery.2024; 86(2): 428.     CrossRef
  • Strangulated appendiceal intussusception caused by isolated endometriosis
    Seokyoun Lee, Junhee Lee, Keunyoung Kim
    Clinical and Experimental Emergency Medicine.2021; 8(3): 246.     CrossRef
  • Unusual causes of large bowel obstruction
    Nicholas G. Farkas, Ted Joseph P. Welman, Talisa Ross, Sarah Brown, Jason J. Smith, Nikhil Pawa
    Current Problems in Surgery.2019; 56(2): 49.     CrossRef
Laparoscopic Management of Appendiceal Intussusception Caused by Fecaliths.
Kang, Dong Baek , Kim, Seung Ho , Oh, Jung Taek , Kim, Kang Deuk , Jo, Hyang Jeong , Lee, Jeong Kyun , Park, Won Cheol
J Korean Soc Coloproctol. 2009;25(5):352-355.
DOI: https://doi.org/10.3393/jksc.2009.25.5.352
  • 14,657 View
  • 7 Download
  • 1 Citations
AbstractAbstract PDF
Appendiceal intussusception is a rare condition of abdominal pain. It develops as a result of various anatomic or pathologic conditions, such as polyps, worms, carcinomas, mucoceles, or fecaliths. Furthermore, an accurate preoperative diagnosis of appendiceal intussusception may be difficult. However, recently developed radiologic modalities, such as multidetector CT and laparoscopy, can considerably aid preoperative diagnosis and provide a means of adopting optimal minimally invasive surgery. Here, the authors describe the case of a 30-yr-old woman with the clinical features of acute appendicitis, who was preoperatively diagnosed as having appendiceal intussusception with fecaliths and who was managed by using a laparoscopic partial cecectomy.

Citations

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  • Appendix Invagination Mimicking Ileocecal Intussusception in a Pediatric Patient: A Case Report
    Muhsin Nuh Aybay, Seyit Erol, Hasan Emin Kaya, Ibrahim Guler
    The Journal of Emergency Medicine.2016; 51(5): 589.     CrossRef
Adult Sigmoido-recto-anal Intussusception by a Sigmoid Colon Adenoma.
Park, Young Jin
J Korean Soc Coloproctol. 2009;25(2):121-124.
DOI: https://doi.org/10.3393/jksc.2009.25.2.121
  • 2,156 View
  • 10 Download
  • 1 Citations
AbstractAbstract PDF
Although rectal procidentia is not an uncommon disease, presentation of more proximal segments of the large bowel through the anus is extremely rare. A case with sigmoido-recto-anal prolapse secondary to a large adenoma of the sigmoid colon is reported herein. A 28-yr-old man with an anal prolapsing mass was admitted to our hospital. Preoperative CT scan showed a sigmoid-recto-anal prolapse. An emergency operation was decided upon because the prolapsed segment was irreducible and because its viability was questionable. After a manual reduction of the mass, an anterior resection was performed under general anesthesia. The pathologic diagnosis of the resected specimen was a large villo-tubular adenoma.

Citations

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  • Laparoscopic Treatment of Adult Sigmoidorectal Intussusception Caused by a Mucinous Adenocarcinoma of the Sigmoid Colon: A Case Report
    Seok Youn Lee, Won Cheol Park, Jeong Kyun Lee, Dong Baek Kang, Young Kim, Ki Jung Yun
    Journal of the Korean Society of Coloproctology.2011; 27(1): 44.     CrossRef
Appendiceal Intussusception Resected by Laparoscopy.
Park, Jin Young
J Korean Soc Coloproctol. 2008;24(3):223-227.
DOI: https://doi.org/10.3393/jksc.2008.24.3.223
  • 1,512 View
  • 8 Download
AbstractAbstract PDF
The appendix has been reported to be a very rare leading point in intussusception with an incidence of 0.01% in surgical and postmortem specimens. In many cases it was developed by secondary conditions, such as polyps, carcinomas, or mucoceles. Some other cases had none of the initiating causes. Therefore, making an accurate diagnosis is important in providing the optimal treatment for the patient. Here, the author presents an appendiceal intussusception case of a 37-year-old male patient whose vermiform appendix had none of the initiating causes. The preoperative diagnosis was an appendiceal mucocele, but an appendiceal intussusception was detected after the operation. The patient was managed with a laparoscopic partial cecectomy and has been followed up.
Spontaneous Jejunal Intussusception after a Colectomy: A Rare Cause of Postoperative Intestinal Obstruction: A Case Report.
Lim, Seok Byung , Chang, Hee Jin , Jeong, Jun Yong , Choi, Hyo Seong , Jeong, Seung Yong
J Korean Soc Coloproctol. 2008;24(2):134-136.
DOI: https://doi.org/10.3393/jksc.2008.24.2.134
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AbstractAbstract PDF
Intussusception is a rare cause of intestinal obstruction in adults and is most often due to a primary abnormality of the bowel, which serves as the leading point. Idiopathic intussusception in adults is distinctly uncommon, comprising 10% of diagnosed intussusceptions. We report a case of a spontaneous jejunal intussusception in a 48-year-old man that developed shortly after an open colectomy. The 48-year-old man, with no history of a laparotomy, underwent a left hemicolectomy and a left hemihepatectomy for descending colon cancer with liver metastasis. For 14 postoperative days, the patient complained of ileus, and conservative management with a long intestinal tube failed. When the patient underwent a laparotomy, intussusception of the mid jejunum was observed. The intussusception was resected, and no underlying bowel abnormality was identified. This report highlights the importance of considering this rare etiology in patients with ileus who have recently undergone a laparotomy.
Original Article
Adult Intussusception: Diagnosis and Treatment.
Yang, Jae Do , Lee, Min Ro , Kim, Jong Hun
J Korean Soc Coloproctol. 2007;23(6):416-419.
DOI: https://doi.org/10.3393/jksc.2007.23.6.416
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  • 11 Download
  • 2 Citations
AbstractAbstract PDF
PURPOSE
Adult intussusception occurs infrequently and differs greatly from childhood intussusception in etiology. Proper diagnostic of and surgical therapeutic methods for adult intussusception remain controversial. The aim of this study was to determine useful diagnostic modalities and proper surgical interventions in adult intussusception.
METHODS
A retrospective analysis performed at Chonbuk National University Hospital identified 38 patients, aged 15 and older, with a diagnosis of intussusception from January 1991 to January 2007.
RESULTS
There were 19 males and 19 females. The median age of the group was 44 years with a range of 20 to 80 years. The mean follow-up period was 82 months. Abdominal pain was the most common presenting complaint (89%). There were 30 small bowel intussusceptions and 8 colonic intussusceptions. A pathologic cause was identified in 79% of the patients, with 5 of 30 (17%) small bowel and 4 of 8 (50%) large bowel lesions being malignant. A preoperative diagnosis was made accurately in 25 of 38 (66%) patients. The diagnostic rates of pre-operative radiological methods were 77%, 60%, 79%, and 100% for barium enema, ultrasonography, abdominal computerized tomography, and both ultrasonography and abdominal computerized tomography, respectively. Operative treatment consisted of manual reduction only in 6 small bowel (20%) and 1 large bowel intussusception (12%), bowel resection after manual reduction in 8 small bowel (27%) and 2 large bowel intussusceptions (24%), and resection alone in 16 small bowel (53%) and 5 large bowel intussusceptions (64%).
CONCLUSIONS
Both ultrasonography and abdominal computerized tomography are the most useful diagnostic modalities. Colonic intussusception should be treated with en-bloc resection without reduction due to the high incidence of malignancy. However, manual reduction only, bowel resection after reduction, and bowel resection alone can be chosen selectively in cases of small bowel intussusception.

Citations

Citations to this article as recorded by  
  • Adult intussusceptions: preoperative predictive factors for malignant lead point
    Kil Hwan Kim, Hwan Namgung, Dong Guk Park
    Annals of Surgical Treatment and Research.2014; 86(5): 244.     CrossRef
  • A Case of Small Bowel Intussusception Caused by Jejunal Hamartoma Confused as Hepatitis A in an Adult
    Joon Hur, Gu-Min Cho, Young Ook Eum, Ji Young Park, Mi Sung Kim, Byung Seong Ko, Hyang Mi Shin, Seung-Myoung Son
    Yeungnam University Journal of Medicine.2012; 29(2): 110.     CrossRef

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