Das Anupam, Ralte Lalmalsawma, Chawla A S, Arya S V, Kumar Anil, Saroha Ravi, Kalwaniya Dheer Singh
Department of General Surgery, Vardhman Mahavir Medical College, Safdarjung Hospital, Ansari Nagar, New Delhi 110029, India.
Case Rep Surg. 2013;2013:106831. doi: 10.1155/2013/106831. Epub 2013 Feb 28.
Intussusception is a common cause of intestinal obstruction and colicky abdominal pain in the children, particularly infants, the commonest being the ileocolic variety with colocolic variety being a very rare entity. We present a case of colocolic intussusception in a 13-year-old boy which is otherwise seen in adults, precipitated by colonic malignancies. The patient presented with acute abdominal pain and bleeding perrectum with obstipation for 7 days. Preoperative USG abdomen was normal, and abdominal X-rays showed multiple air fluid levels. Intraoperative findings included a polypoidal growth in the descending colon as the leading point with the formation of a colo-colic intussusception. Following reduction and segmental resection, histopathology reported mucinous adenocarcinoma of colon which is also a rarity in pediatric age group. This case has been compared with previous cases reported in the literature.
肠套叠是儿童肠梗阻和绞痛性腹痛的常见原因，尤其是婴儿，最常见的是回结肠型，结肠结肠型非常罕见。我们报告一例13岁男孩的结肠结肠型肠套叠，这种情况在成人中较为常见，由结肠恶性肿瘤引发。患者出现急性腹痛、直肠出血并便秘7天。术前腹部超声检查正常，腹部X线显示多个气液平面。术中发现降结肠有一个息肉样肿物作为套叠起始点，形成了结肠结肠型肠套叠。复位及节段性切除术后，组织病理学报告为结肠黏液腺癌，这在儿童年龄组中也很罕见。该病例已与文献中报道的先前病例进行了比较。
