Intussusception secondary to signet ring cell adenocarcinoma in adolescent
Despite the overall decrease in incidence and mortality rates for older adults, colorectal cancer in young adults is increasing. We present a case of a 15-year-old male who presented with 1.5 weeks of intermittent, sharp, severe right-sided abdominal pain. Abdominal radiograph demonstrated an air-fl...
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| Format: | Article |
| Language: | English |
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Elsevier
2021-05-01
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| Series: | Radiology Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043321000911 |
| _version_ | 1818414963150028800 |
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| author | Ryan Thibodeau, MPH Abtin Jafroodifar, MD Dmitriy Bakrukov, MD Leen Alkukhun, MD Kavya Mirchia, MD Anand Majmudar, MD Saurabh Gupta, MBBS Ravikumar Hanumaiah, MD |
| author_facet | Ryan Thibodeau, MPH Abtin Jafroodifar, MD Dmitriy Bakrukov, MD Leen Alkukhun, MD Kavya Mirchia, MD Anand Majmudar, MD Saurabh Gupta, MBBS Ravikumar Hanumaiah, MD |
| author_sort | Ryan Thibodeau, MPH |
| collection | DOAJ |
| description | Despite the overall decrease in incidence and mortality rates for older adults, colorectal cancer in young adults is increasing. We present a case of a 15-year-old male who presented with 1.5 weeks of intermittent, sharp, severe right-sided abdominal pain. Abdominal radiograph demonstrated an air-fluid level within the right hemiabdomen. Computed tomography demonstrated marked wall thickening and a mass at the junction of the ascending colon and hepatic flexure causing obliteration of the lumen with a fluid-filled, dilated ascending colon. Follow-up ultrasonography demonstrated a 5.9 × 3.9 cm targetoid lesion in the right upper quadrant concerning for intussusception. Contrast enema revealed failure of contrast filling beyond the hepatic flexure due to a lobulated central filling defect surrounded by a claw-like contrast extension. Pathology of the polypoid lesion revealed poorly differentiated signet ring cell adenocarcinoma of the colon at the hepatic flexure. Despite its rarity, this case elucidates the need to consider colorectal carcinoma in adolescent and young adult patients who present with recurrent abdominal signs and symptoms. |
| first_indexed | 2024-12-14T11:27:26Z |
| format | Article |
| id | doaj.art-ca82f4a652c84223ac201aea67290140 |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-12-14T11:27:26Z |
| publishDate | 2021-05-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-ca82f4a652c84223ac201aea672901402022-12-21T23:03:28ZengElsevierRadiology Case Reports1930-04332021-05-0116511981203Intussusception secondary to signet ring cell adenocarcinoma in adolescentRyan Thibodeau, MPH0Abtin Jafroodifar, MD1Dmitriy Bakrukov, MD2Leen Alkukhun, MD3Kavya Mirchia, MD4Anand Majmudar, MD5Saurabh Gupta, MBBS6Ravikumar Hanumaiah, MD7Corresponding author.; Department of Radiology, State University of New York (SUNY) Upstate Medical University, 750 East Adams Street, Syracuse, NY 13210, USADepartment of Radiology, State University of New York (SUNY) Upstate Medical University, 750 East Adams Street, Syracuse, NY 13210, USADepartment of Radiology, State University of New York (SUNY) Upstate Medical University, 750 East Adams Street, Syracuse, NY 13210, USADepartment of Radiology, State University of New York (SUNY) Upstate Medical University, 750 East Adams Street, Syracuse, NY 13210, USADepartment of Radiology, State University of New York (SUNY) Upstate Medical University, 750 East Adams Street, Syracuse, NY 13210, USADepartment of Radiology, State University of New York (SUNY) Upstate Medical University, 750 East Adams Street, Syracuse, NY 13210, USADepartment of Radiology, State University of New York (SUNY) Upstate Medical University, 750 East Adams Street, Syracuse, NY 13210, USADepartment of Radiology, State University of New York (SUNY) Upstate Medical University, 750 East Adams Street, Syracuse, NY 13210, USADespite the overall decrease in incidence and mortality rates for older adults, colorectal cancer in young adults is increasing. We present a case of a 15-year-old male who presented with 1.5 weeks of intermittent, sharp, severe right-sided abdominal pain. Abdominal radiograph demonstrated an air-fluid level within the right hemiabdomen. Computed tomography demonstrated marked wall thickening and a mass at the junction of the ascending colon and hepatic flexure causing obliteration of the lumen with a fluid-filled, dilated ascending colon. Follow-up ultrasonography demonstrated a 5.9 × 3.9 cm targetoid lesion in the right upper quadrant concerning for intussusception. Contrast enema revealed failure of contrast filling beyond the hepatic flexure due to a lobulated central filling defect surrounded by a claw-like contrast extension. Pathology of the polypoid lesion revealed poorly differentiated signet ring cell adenocarcinoma of the colon at the hepatic flexure. Despite its rarity, this case elucidates the need to consider colorectal carcinoma in adolescent and young adult patients who present with recurrent abdominal signs and symptoms.http://www.sciencedirect.com/science/article/pii/S1930043321000911Pediatric colon cancerIntussusceptionColonic obstructionSignet ring cell adenocarcinomaHemicolectomyHereditary nonpolyposis colorectal cancer |
| spellingShingle | Ryan Thibodeau, MPH Abtin Jafroodifar, MD Dmitriy Bakrukov, MD Leen Alkukhun, MD Kavya Mirchia, MD Anand Majmudar, MD Saurabh Gupta, MBBS Ravikumar Hanumaiah, MD Intussusception secondary to signet ring cell adenocarcinoma in adolescent Radiology Case Reports Pediatric colon cancer Intussusception Colonic obstruction Signet ring cell adenocarcinoma Hemicolectomy Hereditary nonpolyposis colorectal cancer |
| title | Intussusception secondary to signet ring cell adenocarcinoma in adolescent |
| title_full | Intussusception secondary to signet ring cell adenocarcinoma in adolescent |
| title_fullStr | Intussusception secondary to signet ring cell adenocarcinoma in adolescent |
| title_full_unstemmed | Intussusception secondary to signet ring cell adenocarcinoma in adolescent |
| title_short | Intussusception secondary to signet ring cell adenocarcinoma in adolescent |
| title_sort | intussusception secondary to signet ring cell adenocarcinoma in adolescent |
| topic | Pediatric colon cancer Intussusception Colonic obstruction Signet ring cell adenocarcinoma Hemicolectomy Hereditary nonpolyposis colorectal cancer |
| url | http://www.sciencedirect.com/science/article/pii/S1930043321000911 |
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