Liu Wei, Li Feng, Jiao Cheng, Guo Jun, Jiao Yurong, Liu Guangchao, Zhang Yao
Department of General Surgery, Bethune International Peace Hospital, Shijiazhuang, Hebei, China.
Front Med (Lausanne). 2025 May 15;12:1561289. doi: 10.3389/fmed.2025.1561289. eCollection 2025.
This case report details the clinical journey of a 37-year-old male patient who had undergone rectal cancer surgery five years prior to symptom onset. The patient presented with an abdominal mass and intermittent abdominal pain that had been present for approximately two weeks prior to the current hospitalization for treatment. Through a comprehensive array of diagnostic procedures, notably abdominal CT scans and colonoscopies, the presence and precise location of intussusception were ascertained. The surgical management entailed a radical right hemicolectomy supplemented by preventive measures against recurrence. In the postoperative phase, the patient was administered oral medications and subjected to regular follow-up. This case highlights the diagnostic and therapeutic challenges of adult intussusception in postoperative cancer patients and underscores the importance of a multidisciplinary approach. It also emphasizes the need for tailored treatment strategies to optimize patient outcomes.
本病例报告详细介绍了一名37岁男性患者的临床病程,该患者在症状出现前五年接受了直肠癌手术。患者出现腹部肿块和间歇性腹痛,在本次住院治疗前约两周就已存在。通过一系列全面的诊断程序,特别是腹部CT扫描和结肠镜检查,确定了肠套叠的存在及其确切位置。手术治疗包括根治性右半结肠切除术,并辅以预防复发的措施。术后阶段,患者接受口服药物治疗并定期随访。本病例突出了癌症术后成年患者肠套叠的诊断和治疗挑战,并强调了多学科方法的重要性。它还强调了制定个性化治疗策略以优化患者预后的必要性。