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Ileocecal intussusception caused by two different tumors - which is the culprit lesion? A case report

World Journal of Clinical Cases 2020年第10期8卷 2044-2049页

作者： Wu-Feng Fan Gang Ma Gui-Chen Li Jin Long Yuan-Hong Xu Ke-Jian Guo Zhe Liu Department of Pancreatic-Biliary Surgery First Hospital of China Medical UniversityShenyang 110001Liaoning ProvinceChina

BACKGROUND Ileocecal intussusception caused by two different tumors is rare,according to a literature *** describe a case of a male patient with a cauliflower-like mass in the middle of the transverse colon observed by colonoscopy before *** was considered to be intussusception caused by colon ***,a substantial lipomatous mass was seen in the distal end of the intussusception by computed tomography before surgery,which posed a challenge in the preoperative *** SUMMARY We report a 72-year-old male patient with *** patient underwent right hemicolectomy and cholecystectomy in our hospital on April 29,*** operation,the ileum was inserted into the ascending colon by about 15 cm,and a tumor with a diameter of approximately 3.0 cm was observed in the distal part of the *** atypical liposarcoma/highly differentiated liposarcoma in the adipose tissue was suspected in the postoperative pathology,and a lipoma was diagnosed after MDM2 gene testing.A 4.0 cm×5.0 cm polypoid mass was seen immediately adjacent to the mass,and the postoperative pathology report suggested a high-level tubular *** patient was eventually cured and discharged with an uneventful *** Intussusception caused by two different types of masses is extremely *** present,surgery is the best treatment once intussusception is diagnosed.

关键词： Adult intussusception two different tumors Right hemicolectomy and cholecystectomy Atypical liposarcoma High-level tubular adenoma Case report

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