Post‐Cesarean section pain secondary to intussuscepting colonic adenocarcinoma

Steinberg, Lester A.; Nisenbaum, Harvey L.; Horii, Steven C.; Salhany, Kevin E.

doi:10.1046/j.1469-0705.1997.10050362.x

Cited by 9 publications

(5 citation statements)

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“…Postoperative intussusception is usually ileoileal and occurs mainly in young children after abdominal operations, 5 accounts for only 1–2% of all cases, 6 and occurs with or without disturbance of the abdominal organs during surgery. Though it is the second most common etiology in adults, 7 the only previous report of post‐cesarean intussusception that could be found in the literature was secondary to colonic adenocarcinoma 2 . Whereas approximately 90% of all postoperative cases occur two weeks after surgery, 8 this case and our own became symptomatic much earlier.…”

Section: Discussionmentioning

confidence: 47%

“…Though it is the second most common etiology in adults, 7 the only previous report of post-cesarean intussusception that could be found in the literature was secondary to colonic adenocarcinoma. 2 Whereas approximately 90% of all postoperative cases occur two weeks after surgery, 8 this case and our own became symptomatic much earlier.…”

Section: Discussionmentioning

confidence: 50%

“…1 The only previous report in the literature of post-cesarean intussusception was a case secondary to colonic adenocarcinoma. 2 The present case appears to be the first report of idiopathic intestinal invagination following cesarean section.…”

Section: Introductionmentioning

confidence: 57%

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Idiopathic ileoileal invagination two days after cesarean section

Harma¹,

Harma²,

Karadeniz

et al. 2011

Journal of Obstetrics and Gynaecology Research

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Postoperative enteroenteric invagination is rare. The only previously reported case post-cesarean was secondary to colonic adenocarcinoma. A 27-year-old woman with preeclampsia delivered a baby by cesarean section. On the second postoperative day, she had abdominal pain, nausea, vomiting, constipation, and distention. An abdominal x-ray showed air-fluid levels, while free fluid (ascites) was detected by ultrasonography. A computed tomography scan did not show the typical invagination picture. Her condition did not improve after 72 h of conservative treatment, and diagnostic laparotomy was performed. A 10 × 3-cm ileoileal invagination 80 cm proximal to the ileocecal valve was found and manually reduced. The patient was discharged on the fifth postoperative day, and her six-month follow-up was normal.

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Section: Discussionmentioning

confidence: 47%

Section: Discussionmentioning

confidence: 50%

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Idiopathic ileoileal invagination two days after cesarean section

Harma¹,

Harma²,

Karadeniz

et al. 2011

Journal of Obstetrics and Gynaecology Research

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“…Other relatively rare causes like lipoma ( 5 ) and even parasitic infestation have been demonstrated by Yersinia enterocolitica ( 2 ). In our first case following Caesarean section, there was no lead point identified, but it should be noted that co-existent colonic adenocarcinoma (instead diagnosed in our second case following Appendicectomy) has been reported as lead point following caesarean section, probably initiated by bowel oedema or post-operative ileus ( 9 ). Reduction by hydrostatic decompression could be helpful in colonic intussusceptions if the bowel is not completely obstructed, though many authors advise against hydrostatic reduction with barium or air in adult patients ( 10 ) which is all the more difficult to achieve in rural and resource limited African settings as were our cases.…”

Section: Discussionmentioning

confidence: 66%

Intussusception as a cause of bowel obstruction in adults from a resource limited area, Cameroon

Aminde¹,

Bonko²,

Takah³

et al. 2015

Ethiop J Health Sci

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BACKGROUND: Intussusception refers to the telescoping of a proximal segment of bowel into a distal segment. It is a rare cause of intestinal obstruction in adulthood. CASE DETAILS: We report two cases of adult intussusception in a post-operative period following Caesarean Section (with no lead point) and Appendicectomy (due to colonic adenocarcinoma) respectively. CONCLUSION: Though rare in adulthood, intussusception should be considered as a differential diagnosis to bowel obstruction in adults even in the post-operative period.

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“…There have been few studies of patients with metastatic CRC diagnosed during the peri-partum period (15, 16, 17). A 1993 study examined 41 cases of pregnant women with metastatic CRC, reporting that the majority of cases (64%) originated in the rectum (9).…”

Section: Introductionmentioning

confidence: 99%

Hormone receptor expression of colorectal cancer diagnosed during the peri-partum period

Silverstein

Kidder

Fisher³

et al. 2019

Endocrine Connections

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Background Colorectal carcinoma (CRC) during the peri-partum period is challenging to diagnose due to the overlapping symptoms of CRC and pregnancy. This is the first case series to investigate clinicopathologic, hormonal and molecular features of CRC diagnosed during the peri-partum period. We hypothesized that advanced presentations of CRC could possibly be mitigated by pregnancy-related hormonal factors. Methods We conducted a retrospective review of five women diagnosed with CRC during the peri-partum period and studied the clinical and molecular features of their cancer. Results All patients presented with stage IV CRC at diagnosis; three had primary tumors in the rectum and two had primary tumors in the sigmoid colon. The liver was the most common metastatic site (three of five women). Immunohistochemistry stains were negative for estrogen receptors alpha (ERα) and beta (ERβ), and one tumor demonstrated low-level positivity for PR (1%). Formalin-fixed and paraffin-embedded (FFPE) biopsies from each case were tested with next-generation sequencing and found that all tumors were mismatch repair (MMR) proficient, and three harbored a KRAS mutation. Germline testing showed no predisposition to CRC; however, several somatic variants of undetermined significance (VUS) were identified. Discussion CRC in the peri-partum period poses significant risk factors for presentations with advanced disease due to diagnostic challenges. While our study provides no evidence that pathogenesis of CRC during pregnancy is driven by elevated estrogen and/or progesterone levels during pregnancy, additional putative etiologic factors, including placental growth factors, the immunosuppressive state of pregnancy and other physiologic processes during pregnancy, warrant future study.

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Post‐Cesarean section pain secondary to intussuscepting colonic adenocarcinoma

Cited by 9 publications

References 0 publications

Idiopathic ileoileal invagination two days after cesarean section

Idiopathic ileoileal invagination two days after cesarean section

Intussusception as a cause of bowel obstruction in adults from a resource limited area, Cameroon

Hormone receptor expression of colorectal cancer diagnosed during the peri-partum period

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