A CASE OF INTUSSUSCEPTION CAUSED BY THE REVERSED NORMAL CECUM RESULTING FROM STENOSIS DUE TO CECAL CANCER IN AN ADULT

• NISHIMURA Akira

  Department of Surgery, Tokyo Women's Medical University Medical Center East

• YOSHIMATSU Kazuhiko

  Department of Surgery, Tokyo Women's Medical University Medical Center East

• ISHIBASHI Keiichiro

  Department of Surgery, Tokyo Women's Medical University Medical Center East

• YOKOMIZO Hajime

  Department of Surgery, Tokyo Women's Medical University Medical Center East

• AIZAWA Masaki

  Department of Surgery, Tokyo Women's Medical University Medical Center East

• OGAWA Kenji

  Department of Surgery, Tokyo Women's Medical University Medical Center East

Bibliographic Information

Other Title

• 盲腸癌による狭窄で翻転した正常盲腸が先進部となった成人腸重積症の１例

Abstract

This paper presents a case of intussusception caused by the reversed normal cecum resulting from stenosis due to cecal cancer in an adult.<br> A 68-year-old woman complaining of abdominal pain was referred to the hospital with a diagnosis of intussusception. On admission to the hospital, a well movable tumor with the size of an egg was palpated in the right lower quadrant of abdomen. Intermittent abdominal pain persisted after admission. Intussusception caused by a submucosal tumor was diagnosed and the patient was operated on. Upon laparotomy intussusception caused by the cecum was identified, and a hard tumor was palpable in the cecum when the intussusception was reduced manually. We suspected cecal cancer and performed an ileocecal excison with dissection of group 3 lymph nodes. The excised material showed a type 2 tumor on the contralateral side of the Bauhin valve. It was inferred that the type 2 tumor caused stenosis in the cecum resulting in reversion of the normal cecum which looked like a submucosal tumor.<br> Although a great number of cases of intussusception caused by a tumorous lesion have been reported so far, the condition caused by the reversed normal cecum is rare. We report this case of intussusception caused by such a rare cause.

Journal

• Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)

  Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 67 (4), 816-820, 2006

  Japan Surgical Association

Keywords

• 成人腸重積症
• 盲腸癌

Details

• CRID: 1390001204849068032
• NII Article ID: 130003604945
• NII Article ID: 10018015340
• NII Book ID: AA11189709
• DOI: 10.3919/jjsa.67.816
• ISSN: 18825133
• ISSN: 13452843
• Web Site: http://www.jstage.jst.go.jp/article/ringe1998/67/4/67_4_816/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2006174429
• Text Lang: ja
• Data Source:
  • JaLC
  • Crossref
  • CiNii Articles
• Abstract License Flag: Disallowed