Case Report

Colorectal Intussusception Due to Tubulovillous Adenoma in the Sigmoidorectal Junction: A Case Report

Abstract

Adult intussusception is a rare disease with various clinical presentations and can cause grave surgical problems. The condition is associated with malignant and benign leading points in adults, unlike in children who mostly experience the latter. The colonic intussusception type can be more malignant than the enteric type, especially in distal parts of the colon. Sigmoidorectal intussusception is less common in adults; it usually presents as bowel obstruction or lower gastrointestinal bleeding. We reported a case of a middle-aged woman with sigmoidorectal intussusception who was treated by transrectal endoscopic surgery.

[1] Azar T, Berger DL. Adult intussusception. Annals of Surgery. 1997; 226(2):134-8. [DOI:10.1097/00000658-199708000-00003] [PMID] [PMCID]
[2] Weilbaecher D, Bolin JA, Hearn D, Ogden 2nd W, Intussusception in adults. Review of 160 cases. American Journal of Surgery. 1971; 121(5):531-5. [DOI:10.1016/0002-9610(71)90133-4] [PMID]
[3] David S, Barkin JS. Retrograde gastroesophageal intussusception. American Journal of Gastroenterology. 1992; 87(1)132-4: https:// web.s.ebscohost.com/abstract?%3d16018246
[4] Rieth KG, Abbott GF, Gray G. Duodenal intussusception secondary to Brunner’s gland hamartoma. Gastrointestinal Radiology. 1977; 2(1):13-6. [DOI:10.1007/BF02256458] [PMID]
[5] Begos DG, Sandor A, Modlin IM. The diagnosis and management of adult intussusception. The American Journal of Surgery. 1997; 173(2):88-94. [DOI:10.1016/S0002-9610(96)00419-9]
[6] Donhauser JL, Kelly EC. Intussusception in the adult. The Ameri- can Journal of Surgery. 1950; 79(5):673-7. [DOI:10.1016/0002- 9610(50)90333-3]
[7] Sanders GB, Hagan WH, Kinnaird DW. Adult intussusception and carcinoma of the colon. Annals of Surgery. 1958; 147(6):796-804. [PMID] [PMCID]
[8] Brayton D, Norris WJ. Intussusception in adults. The Ameri- can Journal of Surgery. 1954; 88(1):32-43. [DOI:10.1016/0002- 9610(54)90328-1]
[9] Saigusa S, Ohi M, Imaoka H, Shimura T, Inoue Y, Kusunoki M. Intussusception of rectosigmoid colon cancer mimicking a pe- dunculated tumor. Case Reports in Surgery. 2014; 2014:696403. [DOI:10.1155/2014/696403] [PMID] [PMCID]
[10] Lianos GD, Drosou P, Souvatzoglou R, Vangelis G, Mitsis M, Lekkas E. Colorectal intussusception due to rectosigmoid junction cancer: A unique surgical challenge? Journal of Gastrointestinal Cancer. 2020; 51(2):639-42. [DOI:10.1007/s12029-019-00326-6] [PMID]
[11] Sasatomi T, Oriishi T, Nakano R, Nozoe Y, Tanaka T, Horiuchi H, et al. Adult colonic intussusception: A case report. The Kurume Medical Jour- nal. 2001; 48(2):189-92. [DOI:10.2739/kurumemedj.48.189] [PMID]
[12] Watanabe T, Terai S, Haba Y, Hirano K, Yamasaki Y, Tsukada T, et al. [Laparoscopic surgery for an intussusception caused by rectosig- moid colon cancer after pre-operative reduction by transanal inser- tion of a circular sizer - A case report (Japanese)]. Cancer & Chemo- therapy. 2017; 44(12):1123-5. [PMID]
[13] shikawa A, Higuchi I, Akiyama Y, Tanigawa T, Hasuike Y. [Laparoscopic surgery for adult intussusception due to rectal cancer - A case report (Japanese)]. Cancer & Chemotherapy. 2015; 42(12):2294-6. [PMID]
Files
IssueVol 6 No 5 (2021): September-October QRcode
SectionCase Report(s)
DOI https://doi.org/10.18502/crcp.v6i5.8375
Keywords
Intussusception Colorectal neoplasms Adult Transanal endoscopic surgery

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Mirhashemi SH, Nakhaei M, Ebrahimian M. Colorectal Intussusception Due to Tubulovillous Adenoma in the Sigmoidorectal Junction: A Case Report. CRCP. 2022;6(5):181-184.