Bail J P, Holderbach L J, Robaszkiewicz M, Dartoy C, Noundou P M, Charles J F
Service de Chirurgie générale et digestive, CHRU Morvan, Brest.
Ann Chir. 1992;46(4):346-51.
The authors report two cases of colonic intussusception in the adult protruding from the anus--or colo-anal intussusception--, not due to a tumor. The first case was a chronic ileo-caeco-colique intussusception, the second case was an acute colo-rectal intussusception. Colo-anal intussusceptions are very rare: less than twenty cases have been described since 1925 in adults. The absence of a tumor origin in our cases represents a special feature, as only three other similar cases have been described. The surgical treatment in both cases was primary colonic resection without colostomy. The surgical treatment of the first case was subtotal colectomy with ileo-rectal anastomosis. The second case was primarily reduced by barium enema which allowed optimal secondary surgical resection of a prepared colon.
作者报告了两例成人肛门突出型结肠套叠——即结肠-肛门套叠，并非由肿瘤引起。第一例是慢性回盲结肠套叠，第二例是急性结肠直肠套叠。结肠-肛门套叠非常罕见：自1925年以来，成人中描述的此类病例不到20例。我们的病例中无肿瘤起源是一个特殊特征，因为仅另有三例类似病例被描述过。两例均采用一期结肠切除且不做结肠造口术的手术治疗。第一例的手术治疗是次全结肠切除并回直肠吻合术。第二例首先通过钡剂灌肠复位，这使得后续能够对准备好的结肠进行最佳的二期手术切除。
