Successful treatment of adult cecorectal intussusception caused by cecum cancer with mobile cecum: a case report
Abstract Background Intussusception occurs when a segment of the bowel (the intussusceptum) telescopes into an adjacent segment (the intussuscipiens). Adult intussusception occurs rarely and often requires surgical resection for its treatment. We describe the case of an adult patient with extremely...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2021-04-01
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| Series: | Surgical Case Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40792-021-01180-0 |
| _version_ | 1819284308006797312 |
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| author | Hayato Shimoyama Kimihiko Ueno Masahiro Samizo |
| author_facet | Hayato Shimoyama Kimihiko Ueno Masahiro Samizo |
| author_sort | Hayato Shimoyama |
| collection | DOAJ |
| description | Abstract Background Intussusception occurs when a segment of the bowel (the intussusceptum) telescopes into an adjacent segment (the intussuscipiens). Adult intussusception occurs rarely and often requires surgical resection for its treatment. We describe the case of an adult patient with extremely rare cecorectal intussusception treated using a novel combined transabdominal and trans-anal approach, which has not yet been reported in the literature. Case presentation A 71-year-old woman was transferred to our hospital for the treatment of upper abdominal pain. Physical examination, laboratory tests, and imaging inspections showed strangulated bowel obstruction induced by intussusception associated with the intra-rectal mass. We performed an emergency operation and treated the intussusception using a combined transabdominal and trans-anal approach. The intraoperative findings revealed bloody ascites and a potentially malignant tumor that had moved toward the anal side from peritoneal reflection. The tumor served as the lead point in the cecum with mobile cecum. After reducing the intussusception using the combined procedure, we removed the ileocecal portion. The intraoperative and histopathological findings suggested that cecum cancer with mobile cecum had caused the cecorectal intussusception. The patient had an uneventful postoperative course, except for postoperative pulmonary pneumonia. Conclusion To the best of our knowledge, this is the first reported case of adult cecorectal intussusception due to cecum cancer with mobile cecum successfully treated using the combined transabdominal and trans-anal approach. This combined procedure may be useful in treating the intussusception where the lead point is distal from the peritoneal reflection. |
| first_indexed | 2024-12-24T01:45:18Z |
| format | Article |
| id | doaj.art-85b194e8a6d04d14808c89a9c2787102 |
| institution | Directory Open Access Journal |
| issn | 2198-7793 |
| language | English |
| last_indexed | 2024-12-24T01:45:18Z |
| publishDate | 2021-04-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Surgical Case Reports |
| spelling | doaj.art-85b194e8a6d04d14808c89a9c27871022022-12-21T17:21:53ZengSpringerOpenSurgical Case Reports2198-77932021-04-01711510.1186/s40792-021-01180-0Successful treatment of adult cecorectal intussusception caused by cecum cancer with mobile cecum: a case reportHayato Shimoyama0Kimihiko Ueno1Masahiro Samizo2Department of Surgery, Kobe Rosai HospitalDepartment of Surgery, Kobe Rosai HospitalDepartment of Surgery, Kobe Rosai HospitalAbstract Background Intussusception occurs when a segment of the bowel (the intussusceptum) telescopes into an adjacent segment (the intussuscipiens). Adult intussusception occurs rarely and often requires surgical resection for its treatment. We describe the case of an adult patient with extremely rare cecorectal intussusception treated using a novel combined transabdominal and trans-anal approach, which has not yet been reported in the literature. Case presentation A 71-year-old woman was transferred to our hospital for the treatment of upper abdominal pain. Physical examination, laboratory tests, and imaging inspections showed strangulated bowel obstruction induced by intussusception associated with the intra-rectal mass. We performed an emergency operation and treated the intussusception using a combined transabdominal and trans-anal approach. The intraoperative findings revealed bloody ascites and a potentially malignant tumor that had moved toward the anal side from peritoneal reflection. The tumor served as the lead point in the cecum with mobile cecum. After reducing the intussusception using the combined procedure, we removed the ileocecal portion. The intraoperative and histopathological findings suggested that cecum cancer with mobile cecum had caused the cecorectal intussusception. The patient had an uneventful postoperative course, except for postoperative pulmonary pneumonia. Conclusion To the best of our knowledge, this is the first reported case of adult cecorectal intussusception due to cecum cancer with mobile cecum successfully treated using the combined transabdominal and trans-anal approach. This combined procedure may be useful in treating the intussusception where the lead point is distal from the peritoneal reflection.https://doi.org/10.1186/s40792-021-01180-0Cecorectal intussusceptionMobile cecumCombined transabdominal and trans-anal procedure |
| spellingShingle | Hayato Shimoyama Kimihiko Ueno Masahiro Samizo Successful treatment of adult cecorectal intussusception caused by cecum cancer with mobile cecum: a case report Surgical Case Reports Cecorectal intussusception Mobile cecum Combined transabdominal and trans-anal procedure |
| title | Successful treatment of adult cecorectal intussusception caused by cecum cancer with mobile cecum: a case report |
| title_full | Successful treatment of adult cecorectal intussusception caused by cecum cancer with mobile cecum: a case report |
| title_fullStr | Successful treatment of adult cecorectal intussusception caused by cecum cancer with mobile cecum: a case report |
| title_full_unstemmed | Successful treatment of adult cecorectal intussusception caused by cecum cancer with mobile cecum: a case report |
| title_short | Successful treatment of adult cecorectal intussusception caused by cecum cancer with mobile cecum: a case report |
| title_sort | successful treatment of adult cecorectal intussusception caused by cecum cancer with mobile cecum a case report |
| topic | Cecorectal intussusception Mobile cecum Combined transabdominal and trans-anal procedure |
| url | https://doi.org/10.1186/s40792-021-01180-0 |
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