[1例因乙状结肠癌致肠套叠的结肠镜复位病例]

[A case of colonoscopy release of intussusception due to sigmoid colon cancer].

作者信息

Taenaka Hiroki, Kagawa Yoshinori, Sakisaka Hideki, Kato Takeshi, Mukai Yosuke, Sato Yasufumi, Morimoto Yoshihiro, Kusama Hiroki, Hashimoto Tadayoshi, Matsushita Katsunori, Kawashima Hiroshi, Kimura Kei, Katsura Yoshiteru, Nitta Kanae, Okishiro Masatsugu, Takeno Atsushi, Nakahira Shin, Taniguchi Hirokazu, Egawa Chiyomi, Takeda Yutaka, Tamura Shigeyuki

机构信息

Dept. of Surgery, Kansai Rosai Hospital.

出版信息

Gan To Kagaku Ryoho. 2014 Nov;41(12):1625-7.

PMID:25731275

Abstract

A 53-year-old woman with recurrent abdominal pain was referred to our hospital. Based on the enhanced abdominal computed tomographic (CT) finding, she was diagnosed with intussusception of the sigmoid colon. Colonoscopy was performed to release the intussusception, and a lead point lesion was detected. An advanced cancer was found in the rectum, which could be pushed back into the sigmoid colon easily using pressurized air. A more-advanced colon cancer was also detected on the oral side of the lesion. The patient was diagnosed with double cancer of the sigmoid colon and was treated with laparoscopic sigmoidectomy with lymph node resection (D3). Preliminary reduction by colonoscopy prior to surgery is an effective option in cases of adult intussusception. Colonoscopy can be used to perform definitive and qualitative diagnoses.

摘要

一名53岁反复腹痛的女性被转诊至我院。根据腹部增强计算机断层扫描（CT）结果，她被诊断为乙状结肠套叠。进行了结肠镜检查以解除套叠，并发现了一个引导点病变。在直肠发现了进展期癌，使用加压空气可轻松将其推回乙状结肠。在病变的口侧还检测到更进展期的结肠癌。该患者被诊断为乙状结肠双癌，并接受了腹腔镜乙状结肠切除术及淋巴结清扫术（D3）。术前通过结肠镜进行初步复位在成人套叠病例中是一种有效的选择。结肠镜可用于进行明确的定性诊断。