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Colon Adenocarcinoma in a Retrograde Intussusception: A Case Report and Literature Review

Open Journal of Gastroenterology 2024年第5期14卷 153-160页

作者： Carlos Hernández Brito Pedro Arredondo Ruiz brenda paola sáenz dávila Arsenio Torres delgado Luis Eduardo Méndez Turrubiates Luis Ángel Amezcua Toledo Omar Josué Herrera López surgical Oncology department Centro Oncol&#243gico Onkolid Veracruz Mexico Clinical Oncology department Centro Oncol&#243gico Onkolid Veracruz Mexico General and Laparoscopic surgery Corporativo M&#233dico-Quir&#250rgico Torres Veracruz Mexico Radiation Oncology department Centro Oncol&#243gico Onkolid Veracruz Mexico Radiology department Centro Oncol&#243gico Onkolid Veracruz Mexico Anatomical Pathology department Centro Oncol&#243gico Onkolid Veracruz Mexico

Background: Intussusception is defined as a telescoping of a proximal gastrointestinal segment with its mesentery to a distal one, only 5% occur in adults and in colon the probability that it is caused by a malignant disease is up to 65%. Only 1% occurs in a retrograde manner, the rest occur in an anterograde manner. Aim: describe the clinical presentation of an intussusception in the adult patient as well as its most frequent causes and possible complications that influence decision making for a definitive treatment. Case Presentation: A 66-year-old woman diagnosed with colon adenocarcinoma who underwent elective transverse colectomy and colonic anastomosis with an incidental finding of a transverse colon tumor in a retrograde intussusception was studied. Conclusion: In any adult patient with an intussusception especially in colon a neoplasia should be suspected and the affected segment should be resected without being reduced due to the risk of perforation and tumor dissemination.

关键词： Colon Cancer Colon Adenocarcinoma Colonic Intussusception Intussusception

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