Prolapse of Intussusception through the Anus as a Result of Sigmoid Colon Cancer

Ochiai, Hiroki; Ohishi, Takashi; Seki, Shikou; Tokuyama, Jo; Osumi, Koji; Urakami, Hidejirou; Shimada, Atsushi; Matsui, Akira; Isobe, Yoh; Murata, Yuya; Endo, Takashi; Ishii, Yoshiyuki; Hasegawa, Hirotoshi; Matsumoto, Sumio; Kitagawa, Yuko

doi:10.1159/000320770

Cited by 13 publications

(11 citation statements)

References 9 publications

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“…The duration of symptoms is longer in enteric and benign lesions than in malignant and colonic ones [ 13 ]. In our case, intussusception of the sigmoid colon into the rectum is was secondary to a colonic lipoma, however a review of the literature demonstrated that, other lesions in the sigmoid wall are more likely to cause intussusception, such as sigmoid polyp [ 11 ], a sigmoid adenocarcinoma [ 14 , 15 ] and a sigmoid liposarcoma [ 12 ].…”

Section: Discussionmentioning

confidence: 94%

“…Surgical resection is the recommended treatment when lipomas are complicated by intussusception or bowel obstruction [ 6 , 11 , 13 ]. Reduction of the intussusception is not recommended in the presence of inflammation or ischemia of the bowel wall or when a malignancy is suspected because of the high risk of perforation and dissemination of malignant cells [ 6 , 15 ]. Small intestinal lesions are mostly begnin; reduction can be attempt if there are no signs of bowel ischemia, in order to prevent the development of short bowel syndrome [ 7 ].…”

Section: Discussionmentioning

confidence: 99%

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Large pedunculated colonic lipoma: a rare cause of colorectal intussusception in adults

Zenaidi¹,

Ismail²,

Rekik³

et al. 2020

Pan Afr Med J

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Colo-rectal intussusception is rare in adults and is often secondary to malignant lesions, rarely benign lesions such as colonic lipomas can also be the cause. We present the case a 60-year-old man who presented to the emergency department with acute abdominal pain. On physical examination, the abdomen was distended with diffuse tenderness. CT scan of the abdomen revealed a colo-rectal intussusception secondary to a rectal lipoma with parietal pneumatosis of the invaginated loop. An emergency laparotomy was performed. Intraoperatively the radiological findings were confirmed. A rectosigmoid resection (Hartmann's procedure) taking off the lipoma and the invaginated segment of the colon was performed and the patient had an unevent full recovery. Histopathology confirmed a 6cm sub-mucosal lipoma without evidence of malignancy. As the diagnosis of a benign disease in patients presenting with colonic intussusception can only be made on pathological examination, this entity should be managed as a malignant lesion due to the high incidence of malignancy.

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Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 99%

Large pedunculated colonic lipoma: a rare cause of colorectal intussusception in adults

Zenaidi¹,

Ismail²,

Rekik³

et al. 2020

Pan Afr Med J

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“…It occurred to the patient who had fallen down on the floor in a sitting position. There was no severe abdominal pain and no history of repeated episodes of colicky pain, as usually happens in intussusception case [3].…”

Section: Case Presentationmentioning

confidence: 89%

Rectal Prolapse Concomitant with Uterovaginal Prolapse Protects the Ileum from Necrosis in Transanal Ileum Evisceration through a Traumatic Tear on the Sigmoid Wall

Budipramana

Putra

2020

Case Rep Gastroenterol

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Eviscerated ileum passing through a traumatic tear on the sigmoid wall is a rare case and all the cases reported previously showed that the eviscerated intestines were necrotic. However, in this case, although the huge size of eviscerated intestine had already exceeded the intestinal ischemic time, the small intestine outside the anus was not necrotic. Here we report the case of a 73-year-old female who presented with evisceration of the small intestine out of her anus as long as 200 cm 7 h before. The eviscerated small intestine (ileum) appeared still viable and there were no signs of pain, obstruction, or peritonitis. An intermittent rectal concomitant with uterovaginal prolapse had been experienced by the patient before. On surgery, the ileum was not necrotic and pulled back out of the sigmoid wall tear. The cardinal uterosacral ligament may have an important role in maintaining the uterovagina in place. When this ligament loses its ability to anchor the uterovagina to the sacrum, both the uterovagina and the rectum will lose their fixation to the sacrum and prolapse will occur. Hence, the rectum located posterior to the uterovagina also relieves its squeeze pressure so that it will not disrupt the blood supply of the ileum when the ileum enters through the rectal lumen. Rectal concomitant with

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“…Reduction can be attempted in small bowel if the segment involved is viable or malignancy is not suspected. 16…”

Section: Discussionmentioning

confidence: 99%

Caecocolic intussusception mimicking appendicular lump

2017

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Prolapse of Intussusception through the Anus as a Result of Sigmoid Colon Cancer

Cited by 13 publications

References 9 publications

Large pedunculated colonic lipoma: a rare cause of colorectal intussusception in adults

Large pedunculated colonic lipoma: a rare cause of colorectal intussusception in adults

Rectal Prolapse Concomitant with Uterovaginal Prolapse Protects the Ileum from Necrosis in Transanal Ileum Evisceration through a Traumatic Tear on the Sigmoid Wall

Caecocolic intussusception mimicking appendicular lump

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