A Case of Retrograde Intussusception on the Sigmoid Colon in an Adult
Retrograde intussusception of the colon is a rare disease in adults. This paper describes our recent experience with a case of retrograde intussusception due to sigmoid colon cancer, with reference to the literature. A 45-year-old woman was admitted to our hospital because of abdominal pain. Compute...
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| Published in | Nippon Daicho Komonbyo Gakkai Zasshi Vol. 66; no. 3; pp. 162 - 165 |
|---|---|
| Main Authors | , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
The Japan Society of Coloproctology
2013
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0047-1801 1882-9619 |
| DOI | 10.3862/jcoloproctology.66.162 |
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| Abstract | Retrograde intussusception of the colon is a rare disease in adults. This paper describes our recent experience with a case of retrograde intussusception due to sigmoid colon cancer, with reference to the literature. A 45-year-old woman was admitted to our hospital because of abdominal pain. Computed tomography clearly showed retrograde invagination of the sigmoid colon into the descending colon. Judging from this information, we diagnosed retrograde intussusception of the sigmoid colon, and laparotomy was immediately performed. The sigmoid colon was firmly invaginated into the transverse colon retrogradely and manual repositioning was performed. We performed sigmoidectomy with D2 lymph node dissection. The resected specimen showed a pedunculated polyp (3.0cm) at the top of the intussusception. Microscopic examination clarified that the tumor was a moderately differentiated adenocarcinoma with adenoma component. The depth of invasion was pM. Computed tomography is useful in the diagnosis of retrograde intussusception of the colon. Since retrograde intussusception is caused by many malignant tumors, in the operation we should consider intestinal tract excision including lymph node dissection. |
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| AbstractList | Retrograde intussusception of the colon is a rare disease in adults. This paper describes our recent experience with a case of retrograde intussusception due to sigmoid colon cancer, with reference to the literature. A 45-year-old woman was admitted to our hospital because of abdominal pain. Computed tomography clearly showed retrograde invagination of the sigmoid colon into the descending colon. Judging from this information, we diagnosed retrograde intussusception of the sigmoid colon, and laparotomy was immediately performed. The sigmoid colon was firmly invaginated into the transverse colon retrogradely and manual repositioning was performed. We performed sigmoidectomy with D2 lymph node dissection. The resected specimen showed a pedunculated polyp (3.0cm) at the top of the intussusception. Microscopic examination clarified that the tumor was a moderately differentiated adenocarcinoma with adenoma component. The depth of invasion was pM. Computed tomography is useful in the diagnosis of retrograde intussusception of the colon. Since retrograde intussusception is caused by many malignant tumors, in the operation we should consider intestinal tract excision including lymph node dissection. |
| Author | Nakagoe, Tohru Nogawa, Tatsuhiko Hisano, Hiroshi Jibiki, Masaaki Ogino, Ayumu Tsuji, Takashi |
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| Copyright | 2013 The Japan Society of Coloproctology |
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| References | 3) Agha FP: Intussusception in adults. Am J Roentgenol 146:527-531, 1986 7) 生田 肇, 内藤伸三, 佐古辰夫ほか:S状結腸有茎性粘膜癌に起因した成人逆行性腸重積症の1例. 日本大腸肛門病会誌 46:73-77, 1993 10) 家城真理, 玉内登志雄, 小林一郎ほか:成人大腸重積症の2例. 袋井市民病院研究誌 7:55-61, 1998 14) 高野 学, 山口晃弘, 磯谷正敏ほか:Ｓ状結腸ポリープを先進とした逆行性腸重積症の1例. 日消外会誌 35:111-115, 2002 16) 東 崇明, 藤川裕之, 大井正貴ほか:S状結腸腺腫に起因した成人逆行性大腸重積症の1例. 臨外 61:125-129, 2006 17) 番場嘉子, 中野達也, 冨松裕明ほか:S状結腸有茎性腺腫に起因する成人逆行性腸重積の1例. 日消外会誌 39:412-416, 2006 15) 末永敏彰, 山本典子, 阿嶋孟嘉ほか:1型S状結腸癌を伴う成人逆行性腸重積症の1例. 広島医 57:77-80, 2004 2) Akehurst AC: Retrograde intussusception; a report of a case and a review of 103 cases in the literature. Br J Surg 43:207-213, 1955 21) 若山顕治, 澤谷令兒, 吉川紀雄:成人S状結腸逆行性腸重積症の1例. 日消外会誌 44:1455-1461, 2011 20) 植木秀功, 中平啓子, 大矢 明ほか:下行結腸ポリープによる成人逆行性大腸腸重積症の1例. 新潟医会誌 124:38-44, 2010 22) Heinisch HM: [Animal experimental experiences in etiology and spontaneous release of retrograde intussusception]. Z Kinderheilkd 102:172-178, 1968 11) 角田順久, 伊藤重彦, 木戸川秀生ほか:術前に診断しえた逆行性突発性結腸重積症の1例―本邦報告例の検討―. 日腹部救急医会誌 19:75-79, 1999 18) 前山 良, 八谷泰孝, 佐古達彦ほか:S状結腸脂肪腫に起因した成人逆行性腸重積症の1例. 日臨外会誌 69:100-104, 2008 6) 増田英樹, 西川 亨, 佐藤博信ほか:逆行性腸重積症の1例を含む成人腸重積症9例の検討. 日消外会誌 21:2431-2434, 1988 19) 山崎泰源, 板野 聡, 寺田紀彦ほか:Ｓ状結腸腺腫内癌に起因した成人逆行性大腸腸重積症の1例. 臨外 64:413-417, 2009 9) 家接健一, 中島久幸, 小杉光世ほか:S状結腸の腺管絨毛腺腫に起因した逆行性腸重積症の1例. Gastroenterol Endosc 40:565-571, 1998 8) 斉藤典才, 古田和雄, 横山 隆ほか:2度にわたり腸重積症をきたした異時性大腸癌の1例. 日臨外医会誌 56:784-788, 1995 12) 馬場將至, 桧垣直純, 石田雅俊ほか:日消外会誌 34:282-286, 2001 1) Azar T, Berger DL: Adult intussusception. Ann Surg 226:134-138, 1997 13) Shimotsuma M, Mugitani T, Yamaoka N, et al: Retrograde intussusception due to a sigmoid colon tumor in an adult: case report. J Kyoto Pref Univ Med 110:493-498, 2001 4) 細羽俊男, 成末充勇, 向井晃太ほか:S状結腸ポリープ癌を先進部とした逆行性腸重積症の1例. 外科 45:749-751, 1983 5) 安積靖友, 内藤伸三, 福田 裕ほか:S状結腸ポリープによる成人逆行性腸重積症の1例. 日臨外医会誌 47:240-244, 1986 |
| References_xml | – reference: 3) Agha FP: Intussusception in adults. Am J Roentgenol 146:527-531, 1986 – reference: 12) 馬場將至, 桧垣直純, 石田雅俊ほか:日消外会誌 34:282-286, 2001 – reference: 8) 斉藤典才, 古田和雄, 横山 隆ほか:2度にわたり腸重積症をきたした異時性大腸癌の1例. 日臨外医会誌 56:784-788, 1995 – reference: 13) Shimotsuma M, Mugitani T, Yamaoka N, et al: Retrograde intussusception due to a sigmoid colon tumor in an adult: case report. J Kyoto Pref Univ Med 110:493-498, 2001 – reference: 1) Azar T, Berger DL: Adult intussusception. Ann Surg 226:134-138, 1997 – reference: 5) 安積靖友, 内藤伸三, 福田 裕ほか:S状結腸ポリープによる成人逆行性腸重積症の1例. 日臨外医会誌 47:240-244, 1986 – reference: 7) 生田 肇, 内藤伸三, 佐古辰夫ほか:S状結腸有茎性粘膜癌に起因した成人逆行性腸重積症の1例. 日本大腸肛門病会誌 46:73-77, 1993 – reference: 4) 細羽俊男, 成末充勇, 向井晃太ほか:S状結腸ポリープ癌を先進部とした逆行性腸重積症の1例. 外科 45:749-751, 1983 – reference: 19) 山崎泰源, 板野 聡, 寺田紀彦ほか:Ｓ状結腸腺腫内癌に起因した成人逆行性大腸腸重積症の1例. 臨外 64:413-417, 2009 – reference: 17) 番場嘉子, 中野達也, 冨松裕明ほか:S状結腸有茎性腺腫に起因する成人逆行性腸重積の1例. 日消外会誌 39:412-416, 2006 – reference: 18) 前山 良, 八谷泰孝, 佐古達彦ほか:S状結腸脂肪腫に起因した成人逆行性腸重積症の1例. 日臨外会誌 69:100-104, 2008 – reference: 6) 増田英樹, 西川 亨, 佐藤博信ほか:逆行性腸重積症の1例を含む成人腸重積症9例の検討. 日消外会誌 21:2431-2434, 1988 – reference: 10) 家城真理, 玉内登志雄, 小林一郎ほか:成人大腸重積症の2例. 袋井市民病院研究誌 7:55-61, 1998 – reference: 11) 角田順久, 伊藤重彦, 木戸川秀生ほか:術前に診断しえた逆行性突発性結腸重積症の1例―本邦報告例の検討―. 日腹部救急医会誌 19:75-79, 1999 – reference: 2) Akehurst AC: Retrograde intussusception; a report of a case and a review of 103 cases in the literature. Br J Surg 43:207-213, 1955 – reference: 21) 若山顕治, 澤谷令兒, 吉川紀雄:成人S状結腸逆行性腸重積症の1例. 日消外会誌 44:1455-1461, 2011 – reference: 22) Heinisch HM: [Animal experimental experiences in etiology and spontaneous release of retrograde intussusception]. Z Kinderheilkd 102:172-178, 1968 – reference: 16) 東 崇明, 藤川裕之, 大井正貴ほか:S状結腸腺腫に起因した成人逆行性大腸重積症の1例. 臨外 61:125-129, 2006 – reference: 15) 末永敏彰, 山本典子, 阿嶋孟嘉ほか:1型S状結腸癌を伴う成人逆行性腸重積症の1例. 広島医 57:77-80, 2004 – reference: 14) 高野 学, 山口晃弘, 磯谷正敏ほか:Ｓ状結腸ポリープを先進とした逆行性腸重積症の1例. 日消外会誌 35:111-115, 2002 – reference: 20) 植木秀功, 中平啓子, 大矢 明ほか:下行結腸ポリープによる成人逆行性大腸腸重積症の1例. 新潟医会誌 124:38-44, 2010 – reference: 9) 家接健一, 中島久幸, 小杉光世ほか:S状結腸の腺管絨毛腺腫に起因した逆行性腸重積症の1例. Gastroenterol Endosc 40:565-571, 1998 |
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| Title | A Case of Retrograde Intussusception on the Sigmoid Colon in an Adult |
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