Chand Prakash, Patel Avani A, Cervellione Kelly L, Sulh Muhammed
Department of Medicine, Jamaica Hospital Medical Center, 8900 Van Wyck Expressway, Jamaica, NY 11418, USA.
Case Rep Med. 2012;2012:340947. doi: 10.1155/2012/340947. Epub 2012 Feb 12.
Intussusception is the cause of around 1% of all bowel obstructions in adults. Unlike in children, where intussusception is most often idiopathic in nature, cases in adults usually have an identifiable etiology, most commonly malignancy. Symptoms are usually non-specific, but timely identification and management is crucial due to high rates of carcinoma as the lead point of intussusception. Here we present a rare case of mucinous adenocarcinoma of the colon that presented as ileoileal intussusception. Diagnostic and treatment issues are also discussed.
肠套叠是成人所有肠梗阻病例中约1%的病因。与儿童不同,儿童肠套叠大多病因不明,而成人病例通常有可识别的病因,最常见的是恶性肿瘤。症状通常不具特异性,但由于作为肠套叠起始点的癌发生率较高,及时识别和处理至关重要。在此,我们报告一例罕见的以回肠-回肠套叠形式出现的结肠黏液腺癌病例。同时也讨论了诊断和治疗问题。