Ishikawa Emi, Kudo Masatoshi, Minami Yasunori, Ueshima Kazuomi, Kitai Satoshi, Ueda Kazuki
Division of Gastroenterology and Hepatology, Department of Internal Medicine, Kinki University School of Medicine, Kinki University School of Medicine, Osaka-Sayama, Japan.
Intern Med. 2010;49(12):1123-6. doi: 10.2169/internalmedicine.49.2813. Epub 2010 Jun 15.
Cronkhite-Canada syndrome (CCS) is a rare, noninherited gastrointestinal polyposis syndrome associated with characteristic ectodermal abnormalities. Here, we report a case of Cronkhite-Canada syndrome with cecal intussusception relieved by colonoscopy. A 52-year-old man who was diagnosed as CCS pathologically two years previously presented abdominal pain and sub fever-up. Physical examination revealed the palpable mass sized approximate 10 cm in diameter in the upper abdominal site, in addition to the symptoms of alopecia, absent fingernails and toenails. However, abdominal wall rigidity and rebound tenderness were never expressed. Abdominal plain CT showed concentric circles from the ascending to the middle of the transverse colon, and a tumor in the lumen at the middle of the transverse colon. Colonoscopic reduction was performed first because we diagnosed it as intussusception due to CCS polyps without peritoneal irritation, and his symptoms were improved dramatically after careful reduction. Therefore, he was able to undergo the laparoscopic ascending colectomy as scheduled.
克朗凯特-加拿大综合征（CCS）是一种罕见的、非遗传性胃肠道息肉病综合征，伴有特征性外胚层异常。在此，我们报告一例通过结肠镜检查缓解盲肠套叠的克朗凯特-加拿大综合征病例。一名52岁男性，两年前经病理诊断为CCS，出现腹痛和低热。体格检查发现上腹部可触及直径约10厘米的肿块，此外还有脱发、指甲和趾甲缺失的症状。然而，从未出现腹壁强直和反跳痛。腹部平扫CT显示从升结肠到横结肠中部呈同心圆状，横结肠中部管腔内有一个肿瘤。由于我们诊断为CCS息肉导致的套叠且无腹膜刺激，首先进行了结肠镜复位，仔细复位后他的症状显著改善。因此，他能够如期接受腹腔镜升结肠切除术。
