腸重積で発症した若年者盲腸癌の１例

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  • A CASE OF CECAL CANCER PRESENTED WITH INTUSSUSCEPTION IN A YOUNG WOMAN

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We report a case of cecal cancer presented with intussusception in a young woman.<br> A 33-year-old woman was admitted to the hospital because of persisting right lower abdominal pain. She had anemia and inflammation in laboratory examinations. Ileocecal inflammation or tumor was suspected and an emergency operation was performed. At laparotomy we saw that a portion from the appendix to cecum prolapsed into the lumen of the ascending colon which was led by a 50×40mm 0-Ip type tumor. Intussusception caused by the tumor was diagnosed and an ileocecal resection was carried out. Pathologically, the cecal tumor consisted of well differentiated adenocarcinoma invaded within mucosa. The tumor arose from the cecum with thick muscular layer and caused intussusception.<br> Intussusception caused by colon cancer occurs almost in far aged people whose connective tissues surrounding the large intestine become fragile and rarely in young people. Only five young cases have been reported in the Japanese literature during the last ten years.

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