Kida Kazutoshi, Kawasaki Atsushi, Mimatsu Kenji, Fukino Nobutada, Kuboi Youichi, Kano Hisao, Oida Takatsugu
Dept. of Surgery, Social Insurance Yokohama Central Hospital, Japan.
Gan To Kagaku Ryoho. 2012 Oct;39(10):1571-3.
We experienced a rare case of intussusception due to sigmoid colon cancer during chemotherapy. A-62-year-old female was started on mFOLFOX6 due to sigmoid colon cancer and hepatic metastases(stage IV). After 2 courses, she had abdominal pain and bloody stool. Abdominal ultrasonography showed a target sign, and abdominal CT showed edema of the mucosa of the sigmoid colon and invagination. She was diagnosed with intussusception due to sigmoid colon cancer, and underwent a bloodless reduction. However, because it was unavailable, we performed an emergency operation. The sigmoid colon invaginated 10 cm to the anal side. We then performed sigmoidectomy and lymphadenectomy(D2). The histopathological diagnosis was mucinous carcinoma, stage I. There was no report of intussusception with the chemotherapy. It is important to consider the intussusception of colon cancer even during chemotherapy.
我们遇到了一例化疗期间因乙状结肠癌导致肠套叠的罕见病例。一名62岁女性因乙状结肠癌伴肝转移(IV期)开始接受mFOLFOX6化疗。两个疗程后,她出现腹痛和便血。腹部超声显示靶征,腹部CT显示乙状结肠黏膜水肿和肠套叠。她被诊断为乙状结肠癌导致的肠套叠,并接受了非手术复位。然而,由于无法进行非手术复位,我们进行了急诊手术。乙状结肠向肛门侧套入10厘米。然后我们进行了乙状结肠切除术和淋巴结清扫术(D2)。组织病理学诊断为黏液癌,I期。此前没有化疗期间发生肠套叠的报道。即使在化疗期间,也有必要考虑结肠癌导致的肠套叠。