Case report: An adult intussusception caused by ascending colon cancer

Adults with bowel intussusception caused by malignant tumors are fairly uncommon. We presented a case of a 64-year-old woman whose intussusception was secondary to ascending colon cancer. A color Doppler ultrasonography of the abdomen revealed a low echo mass in the right middle abdomen. Physical ex...

Full description

Bibliographic Details
Main Authors: Guowei Zhao, Wenjun Meng, Lian Bai, Qigang Li
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-09-01
Series:Frontiers in Surgery
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fsurg.2022.984853/full
_version_ 1828735639300866048
author Guowei Zhao
Wenjun Meng
Lian Bai
Qigang Li
author_facet Guowei Zhao
Wenjun Meng
Lian Bai
Qigang Li
author_sort Guowei Zhao
collection DOAJ
description Adults with bowel intussusception caused by malignant tumors are fairly uncommon. We presented a case of a 64-year-old woman whose intussusception was secondary to ascending colon cancer. A color Doppler ultrasonography of the abdomen revealed a low echo mass in the right middle abdomen. Physical examination and digital rectal examination were both unremarkable. Computed tomography (CT) revealed a concentric circle change in the colon, as well as the mesenterium and arteries. Electronic colonoscopy discovered the colonic giant proliferative lesions and stenosis. Adenocarcinoma with moderate differentiation was discovered after a biopsy. Then laparotomy showed intussusception and the tumor was located in the ascending colon. The postoperative pathological test revealed moderately differentiated adenocarcinoma in the right colon invaded the whole layer. After hospitalization, the patient was discharged without any complications. This case highlights that rational use of CT, endoscopy, and timely surgery combines an effective strategy for the treatment of adult intussusception.
first_indexed 2024-04-12T23:10:56Z
format Article
id doaj.art-bae7c6a6aa1144b3be8e9aee0d346b96
institution Directory Open Access Journal
issn 2296-875X
language English
last_indexed 2024-04-12T23:10:56Z
publishDate 2022-09-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Surgery
spelling doaj.art-bae7c6a6aa1144b3be8e9aee0d346b962022-12-22T03:12:48ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2022-09-01910.3389/fsurg.2022.984853984853Case report: An adult intussusception caused by ascending colon cancerGuowei Zhao0Wenjun Meng1Lian Bai2Qigang Li3Department of Gastrointestinal Surgery, Yongchuan Hospital, Chongqing Medical University, Chongqing, ChinaDepartment of Biotherapy, Cancer Center, West China Hospital, Sichuan University, Chengdu, ChinaDepartment of Gastrointestinal Surgery, Yongchuan Hospital, Chongqing Medical University, Chongqing, ChinaDepartment of Gastrointestinal Surgery, Yongchuan Hospital, Chongqing Medical University, Chongqing, ChinaAdults with bowel intussusception caused by malignant tumors are fairly uncommon. We presented a case of a 64-year-old woman whose intussusception was secondary to ascending colon cancer. A color Doppler ultrasonography of the abdomen revealed a low echo mass in the right middle abdomen. Physical examination and digital rectal examination were both unremarkable. Computed tomography (CT) revealed a concentric circle change in the colon, as well as the mesenterium and arteries. Electronic colonoscopy discovered the colonic giant proliferative lesions and stenosis. Adenocarcinoma with moderate differentiation was discovered after a biopsy. Then laparotomy showed intussusception and the tumor was located in the ascending colon. The postoperative pathological test revealed moderately differentiated adenocarcinoma in the right colon invaded the whole layer. After hospitalization, the patient was discharged without any complications. This case highlights that rational use of CT, endoscopy, and timely surgery combines an effective strategy for the treatment of adult intussusception.https://www.frontiersin.org/articles/10.3389/fsurg.2022.984853/fulladult intussusceptioncolon cancercomputed tomographycolonoscopycase report
spellingShingle Guowei Zhao
Wenjun Meng
Lian Bai
Qigang Li
Case report: An adult intussusception caused by ascending colon cancer
Frontiers in Surgery
adult intussusception
colon cancer
computed tomography
colonoscopy
case report
title Case report: An adult intussusception caused by ascending colon cancer
title_full Case report: An adult intussusception caused by ascending colon cancer
title_fullStr Case report: An adult intussusception caused by ascending colon cancer
title_full_unstemmed Case report: An adult intussusception caused by ascending colon cancer
title_short Case report: An adult intussusception caused by ascending colon cancer
title_sort case report an adult intussusception caused by ascending colon cancer
topic adult intussusception
colon cancer
computed tomography
colonoscopy
case report
url https://www.frontiersin.org/articles/10.3389/fsurg.2022.984853/full
work_keys_str_mv AT guoweizhao casereportanadultintussusceptioncausedbyascendingcoloncancer
AT wenjunmeng casereportanadultintussusceptioncausedbyascendingcoloncancer
AT lianbai casereportanadultintussusceptioncausedbyascendingcoloncancer
AT qigangli casereportanadultintussusceptioncausedbyascendingcoloncancer