小腸癌を先進部とする成人腸重積の1例

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  • A CASE OF ADULT INTUSSUSCEPTION DUE TO CARCINOMA OF THE SMALL INTESTINE

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A 78-year-old woman was admitted to the hospital because of abdominal pain and symptoms of small bowel obstruction. Since an enterography revealed a tumor shadow at the ileum, we performed an operation with diagnosis of tumor of the small intestine.<br>At laparotomy, Intussusception caused by the tumor at the ileum was observed. After manual restoration, a partial resection of the ileum and lymph nodes dissection were performed in consideration of possibility of malignancy.<br>Histological examination revealed well differentiaed adenocarcinoma of intramucosal infiltration and no involvement of regional lymph nodes.<br>In a review of the literature, 52 cases of adult intussusception due to some malignant tumor of the small intestine have been reported from 1981 to 1998 in Japan.<br>Preoperative accurate diagnosis of intussusception was made in 81% of these cases, and ultrasonography and CT scan were especially useful for the diagnosis of this condition.

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