Abstract
Two cases of intussusception with a colonic cancer at the head are reported. Case 1: An 81-year-old man was admitted to the hospital because of diarrhea. Intussusception of the transvers colon was confirmed by CT and a cancer was found at the head of intussusception by colonofiberscopy. Thereafter lumbago appeared. A curative operation was performed, and perforations of the colon were confirmed. Case 2: A 76-year-old woman was admitted to the hospital because of diarrhea, constipation, and intestinal obstruction. Intussusception was proved by barium enema and CT, and then a cancer was found by colonofiberscopy. Curative operation was carried out and the resected cancer tumor was a 10×10cm Bormann type 1 lesion in the cecum. Moreover mucosal prolapse syndrome was found at the anal side of the intussusception. Adult intussusception of the transvers colon is comparatively rare and we could not find any report of intussusception caused by a Borrmann type 1 lesion with 10cm in diameter. CT and colonofiberscopy are very useful to confirm the intussusception, and operation must be performed without desintussusception because of the risk of metastasis.
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More From: The journal of the Japanese Practical Surgeon Society
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