Abstract
Eighty-one patients with colorectal carcinoma were treated at the Department of Surgery, National Tohsei Hospital, from January 1985 to December 1986. Of the 81 patients, three (3.7%) had intestinal intussusception (one with cecal carcinoma, two with sigmoid colon carcinoma).Intestinal intussusception was diagnosed by contrast radiography, ultrasonography and CT of the large intestine as well as by clinical symptoms. Colonofiberscopy proved to be most useful in confirming the coexisting tumor.Intestinal intussusception is a comparatively rare disease, and is seldom caused by colorectal carcinoma. It is found in the large intestine more frequently in adults than in children, and so often caused colorectal tumor, which is not infrequent among adults. Considering the above facts, preoperative diagnosis with regard to the presence of a tumor and its characteristics may be most important in treating intestinal intussusception in adults, and it may facilitate appropriate surgical treatment, including lymph node dissection.
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