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A rare case of mucinous adenocarcinoma of the colon presenting as ileoileal intussusception in an adult.

Chand P, Patel AA, Cervellione KL, Sulh M - Case Rep Med (2012)

Bottom Line: Unlike in children, where intussusception is most often idiopathic in nature, cases in adults usually have an identifiable etiology, most commonly malignancy.Here we present a rare case of mucinous adenocarcinoma of the colon that presented as ileoileal intussusception.Diagnostic and treatment issues are also discussed.

View Article: PubMed Central - PubMed

Affiliation: Department of Medicine, Jamaica Hospital Medical Center, 8900 Van Wyck Expressway, Jamaica, NY 11418, USA.

ABSTRACT
Intussusception is the cause of around 1% of all bowel obstructions in adults. Unlike in children, where intussusception is most often idiopathic in nature, cases in adults usually have an identifiable etiology, most commonly malignancy. Symptoms are usually non-specific, but timely identification and management is crucial due to high rates of carcinoma as the lead point of intussusception. Here we present a rare case of mucinous adenocarcinoma of the colon that presented as ileoileal intussusception. Diagnostic and treatment issues are also discussed.

No MeSH data available.


Related in: MedlinePlus

CT scan revealed intussusception of the small bowel (a) and thickening of the right colon (b).
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Related In: Results  -  Collection


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fig1: CT scan revealed intussusception of the small bowel (a) and thickening of the right colon (b).

Mentions: A 29-year-old Hispanic male presented to the medicine clinic with episodes of pain in the abdomen for 10 months. Initially the pain was in the upper abdomen and infrequent, but later progressed to the lower abdomen and became more severe, intolerable, frequent, and prolonged, lasting about 15–20 minutes per occurrence. Associated symptoms were alteration in bowel movements, loss of appetite, and unintentional weight loss of about 5 pounds in 5 months. He reported 2 episodes of rectal bleeding before coming to the clinic. He denied any vomiting or fever. Physical examination revealed deep epigastric and right upper quadrant tenderness with no rebound tenderness, guarding, or abdominal distension. There was no palpable mass. On rectal exam, vault was empty and guaiac test was negative. CT scan of abdomen showed intussusception of small bowel and thickening of right colon (Figure 1). A few lymph nodes were seen in fat adjacent to the right colon and mesentery. He was sent to the emergency department and was admitted to surgery for further evaluation and management.


A rare case of mucinous adenocarcinoma of the colon presenting as ileoileal intussusception in an adult.

Chand P, Patel AA, Cervellione KL, Sulh M - Case Rep Med (2012)

CT scan revealed intussusception of the small bowel (a) and thickening of the right colon (b).
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC3295377&req=5

fig1: CT scan revealed intussusception of the small bowel (a) and thickening of the right colon (b).
Mentions: A 29-year-old Hispanic male presented to the medicine clinic with episodes of pain in the abdomen for 10 months. Initially the pain was in the upper abdomen and infrequent, but later progressed to the lower abdomen and became more severe, intolerable, frequent, and prolonged, lasting about 15–20 minutes per occurrence. Associated symptoms were alteration in bowel movements, loss of appetite, and unintentional weight loss of about 5 pounds in 5 months. He reported 2 episodes of rectal bleeding before coming to the clinic. He denied any vomiting or fever. Physical examination revealed deep epigastric and right upper quadrant tenderness with no rebound tenderness, guarding, or abdominal distension. There was no palpable mass. On rectal exam, vault was empty and guaiac test was negative. CT scan of abdomen showed intussusception of small bowel and thickening of right colon (Figure 1). A few lymph nodes were seen in fat adjacent to the right colon and mesentery. He was sent to the emergency department and was admitted to surgery for further evaluation and management.

Bottom Line: Unlike in children, where intussusception is most often idiopathic in nature, cases in adults usually have an identifiable etiology, most commonly malignancy.Here we present a rare case of mucinous adenocarcinoma of the colon that presented as ileoileal intussusception.Diagnostic and treatment issues are also discussed.

View Article: PubMed Central - PubMed

Affiliation: Department of Medicine, Jamaica Hospital Medical Center, 8900 Van Wyck Expressway, Jamaica, NY 11418, USA.

ABSTRACT
Intussusception is the cause of around 1% of all bowel obstructions in adults. Unlike in children, where intussusception is most often idiopathic in nature, cases in adults usually have an identifiable etiology, most commonly malignancy. Symptoms are usually non-specific, but timely identification and management is crucial due to high rates of carcinoma as the lead point of intussusception. Here we present a rare case of mucinous adenocarcinoma of the colon that presented as ileoileal intussusception. Diagnostic and treatment issues are also discussed.

No MeSH data available.


Related in: MedlinePlus