Intussesception Caused by Carcinoma of the Colon -report of 3 Cases and Review of the Literature-
Year: 1988
Type: article
Abstract: This paper describes three cases of intussesception due to colon cancer and provides a review of the literature. Case 1 was a 72-year-old man with constipation and loss of appetite. He developed colorectal intussesception due to type 2 carcinoma (4×3.8 cm, depth ss) of the sigmoid colon. Case 2 was a 39-year-old woman with abdominal pain and melena. Extraanal prolapse of the tumor was found. She developed colorectal intussesception due to pedunculated villous tumor (6×4.5×3 cm, depth m) of the sigmoid colon. Case 3 was a 76-year-old woman with diarrhea and tarry motions. A coiled spring sign was detected by preoperative barium enema and intussesception was diagnosed. There was colorectal involvement causd by type 1 carcinomas (5.5×4×3 cm and 3.5×2.5×2 cm, depth s) of the sigmoid colon.On reviewing 43 cases so far reported in Japan, including the present 3 patients, intussesception caused by colon cancer was found to be rather frequent in females over 70 years of age. Preoperative detection was possible in 53.5%. The main sites of cancer development were the coecum (20 cases, 46.5%) and sigmoid colon (18 cases, 41.9%). Macroscopically, the tumors consisted of the protuberant type (22 cases, 48.9%) and type 2 (12 cases, 27.9%). Relatively early cancers (m, sm, pm) were found in 30.2%.
Institution: Gifu Municipal Hospital
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W2312948596