Intussusception of Rectosigmoid Colon Cancer Mimicking a Pedunculated Tumor

Intussusception in adults is a rare phenomenon involving the colon in approximately 20% of cases. A 65-year-old man was hospitalized with anorexia, anemia, dehydration, and melena. Digital rectal examination revealed a palpable mass approximately 5 cm from the anal verge. The mass moved between the...

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Main Authors: Susumu Saigusa, Masaki Ohi, Hiroki Imaoka, Tadanobu Shimura, Yasuhiro Inoue, Masato Kusunoki
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Case Reports in Surgery
Online Access:http://dx.doi.org/10.1155/2014/696403
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author Susumu Saigusa
Masaki Ohi
Hiroki Imaoka
Tadanobu Shimura
Yasuhiro Inoue
Masato Kusunoki
author_facet Susumu Saigusa
Masaki Ohi
Hiroki Imaoka
Tadanobu Shimura
Yasuhiro Inoue
Masato Kusunoki
author_sort Susumu Saigusa
collection DOAJ
description Intussusception in adults is a rare phenomenon involving the colon in approximately 20% of cases. A 65-year-old man was hospitalized with anorexia, anemia, dehydration, and melena. Digital rectal examination revealed a palpable mass approximately 5 cm from the anal verge. The mass moved between the rectosigmoid colon and the rectum below the peritoneal reflection during radiographic examinations and during sigmoidoscopy. We strongly suspected a rectosigmoid pedunculated tumor and performed a low anterior resection. Intraoperatively we observed intussusception of the rectosigmoid colon with easy manual reduction. The tumor was palpable in the rectosigmoid colon. The postoperative course was uneventful. This case illustrates intussusception of a rectosigmoid type 1 colon adenocarcinoma mimicking a pedunculated tumor.
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institution Kabale University
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language English
publishDate 2014-01-01
publisher Wiley
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series Case Reports in Surgery
spelling doaj-art-75f8b84bb18d4a41a34e1eebb25cdef22025-08-20T03:35:18ZengWileyCase Reports in Surgery2090-69002090-69192014-01-01201410.1155/2014/696403696403Intussusception of Rectosigmoid Colon Cancer Mimicking a Pedunculated TumorSusumu Saigusa0Masaki Ohi1Hiroki Imaoka2Tadanobu Shimura3Yasuhiro Inoue4Masato Kusunoki5Department of Surgery, Wakaba Hospital, 28-13 Minami-Chuo, Tsu, Mie 514-0832, JapanDepartment of Surgery, Wakaba Hospital, 28-13 Minami-Chuo, Tsu, Mie 514-0832, JapanDepartment of Surgery, Wakaba Hospital, 28-13 Minami-Chuo, Tsu, Mie 514-0832, JapanDepartment of Surgery, Wakaba Hospital, 28-13 Minami-Chuo, Tsu, Mie 514-0832, JapanDepartment of Surgery, Wakaba Hospital, 28-13 Minami-Chuo, Tsu, Mie 514-0832, JapanDepartment of Gastrointestinal and Pediatric Surgery, 2-174 Edobashi, Tsu, Mie 514-8507, JapanIntussusception in adults is a rare phenomenon involving the colon in approximately 20% of cases. A 65-year-old man was hospitalized with anorexia, anemia, dehydration, and melena. Digital rectal examination revealed a palpable mass approximately 5 cm from the anal verge. The mass moved between the rectosigmoid colon and the rectum below the peritoneal reflection during radiographic examinations and during sigmoidoscopy. We strongly suspected a rectosigmoid pedunculated tumor and performed a low anterior resection. Intraoperatively we observed intussusception of the rectosigmoid colon with easy manual reduction. The tumor was palpable in the rectosigmoid colon. The postoperative course was uneventful. This case illustrates intussusception of a rectosigmoid type 1 colon adenocarcinoma mimicking a pedunculated tumor.http://dx.doi.org/10.1155/2014/696403
spellingShingle Susumu Saigusa
Masaki Ohi
Hiroki Imaoka
Tadanobu Shimura
Yasuhiro Inoue
Masato Kusunoki
Intussusception of Rectosigmoid Colon Cancer Mimicking a Pedunculated Tumor
Case Reports in Surgery
title Intussusception of Rectosigmoid Colon Cancer Mimicking a Pedunculated Tumor
title_full Intussusception of Rectosigmoid Colon Cancer Mimicking a Pedunculated Tumor
title_fullStr Intussusception of Rectosigmoid Colon Cancer Mimicking a Pedunculated Tumor
title_full_unstemmed Intussusception of Rectosigmoid Colon Cancer Mimicking a Pedunculated Tumor
title_short Intussusception of Rectosigmoid Colon Cancer Mimicking a Pedunculated Tumor
title_sort intussusception of rectosigmoid colon cancer mimicking a pedunculated tumor
url http://dx.doi.org/10.1155/2014/696403
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