A CASE OF SIGMOID COLON CANCER PROLAPSE AS A RARE CAUSE OF ADULT ISCHEMIC INTUSSUSCEPTION

  • Lidija Djordjevic surgeon
  • Lidija
  • Mirjana Marinkovic
Keywords: diagnosis, intussusception, sigmoid prolapse, treatment

Abstract


Intussusception in adults is present with nonspecific symptoms, which can present diagnosis challenges. Herein, we describe a case with extremely painful sensitivity in anal prolapse of soft-tissue mass with hematoma, as well as signs of ischemia. An operation was performed, during which a large sigmoid intussusception with a 7-cm ulcerative tumor, being the leading point, was found. While the prolapsed intussusception per anus is most commonly associated with the rectum, the possibility of a sigmoid colonic prolapse should always be considered. In adults, intussusception of the large intestine is very often associated with colon cancer, and for this reason, it is necessary to undergo a surgical procedure in such patients.

References

Beleato-González S, Vilanova JC, García-Figueiras R, Juez IB, de Alegria AM. Intussusception in adults; what radiologists should know. Emerg Radiol 2012;19:89–101. [CrossRef][PubMed]

Bounova A, Polychronidis A, Laftsidis P, Simopoulos C. Sigmoid colon cancer presenting as complete rectal prolapse. Colorectal Dis 2007;9:665–6. [CrossRef][PubMed]

Du JZ, Teo LT, Chiu MT. Adult rectosigmoid junction intussusception presenting with rectal prolapse. Singapore Med J 2015;56(5):e78-e81. [CrossRef][PubMed]

Elliott M, Martin J, Mullan F. Prolapsed giant sigmoid lipoma: a rare cause of adult ischaemic intussusception. BMJ Case Rep 2014;2014:bcr2014204036. [CrossRef][PubMed]

Gupta RK, Agrawal CS, Yadav R, Bajracharya A, Sah PL. Intussusceptions in adults. Health Renaissance 2010;8:158–65. [CrossRef]

Mahmood A, Ruan ZQ, O’Hara R, Canna K. Adult intussusception presenting as rectal prolapse. BMJ Case Rep 2014;2014:bcr2013203281. [CrossRef][PubMed]

Teyha SP, Alphonce Chandika A, Kotecha RV. Prolapsed sigmoid intussusception per anus in an elderly man: a case report. Journal of Medical Case Reports 2011;5:389. [CrossRef][PubMed]

Wang LT, Wu CC, Yu Jc, Hsiao CW, Hsu CC, Jao SW. Clinical entity and treatment strategies for adult intussusceptions: 20 years’ experience. Dis Colon Rectum 2007;50:1941–9. [CrossRef][PubMed]

Wang N, Cui XY, Liu Y, Long J, Xu JH, Guo RX, et al. Adult intussusception: a retrospective review of 41 cases. World J Gastroenterol 2009;15:3303-8. [CrossRef][PubMed]

Yamazaki T, Sakai Y, Sekine Y, Nihei K, Hatakeyama K. Sigmoid colon cancer presenting as complete rectal prolapse: report of a case. Surg Today 1999;29:266–7. [CrossRef][PubMed]

Published
2024/01/17
Section
Case report