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Intussusception revealing right colonic adenocarcinoma in a 61-year-old woman: a case report
INTRODUCTION: Adult Intussusception is an uncommon diagnosis, with one to three cases occurring in a population of 1,000,000 per year, primarily due to underlying pathological lead points, of which 70% are malignant. Lipoma is the most common benign tumour, and primary adenocarcinoma is the most com...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10347779/ https://www.ncbi.nlm.nih.gov/pubmed/37443097 http://dx.doi.org/10.1186/s13256-023-04027-4 |
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author | Ali, Mohamed Osama Mohamed Mohamed, Noon Idris Abdelrahman Ahmed, Ahmed Abdelfattah Eltomelhussein Basher, Mohamed Osman Suliman Mohamed, Samya Abbas Abdelrazig Elgemaabi, Osama Mohieldin |
author_facet | Ali, Mohamed Osama Mohamed Mohamed, Noon Idris Abdelrahman Ahmed, Ahmed Abdelfattah Eltomelhussein Basher, Mohamed Osman Suliman Mohamed, Samya Abbas Abdelrazig Elgemaabi, Osama Mohieldin |
author_sort | Ali, Mohamed Osama Mohamed |
collection | PubMed |
description | INTRODUCTION: Adult Intussusception is an uncommon diagnosis, with one to three cases occurring in a population of 1,000,000 per year, primarily due to underlying pathological lead points, of which 70% are malignant. Lipoma is the most common benign tumour, and primary adenocarcinoma is the most common malignant one. Early diagnosis and treatment are essential to reducing poor outcomes, including ischemia, perforation, and sepsis. Computed tomography imaging is a modality of choice for diagnosis. With a diagnostic accuracy of up to 100% and a specificity of up to 71%. Surgical intervention is the definitive treatment, and the decision is taken according to the situation. CASE PRESENTATION: A 61-year-old Black African female presented to our surgical casualty with intermittent colicky abdominal pain for 1 month. After that, she started to experience abdominal swelling in the right iliac fossa. A CT scan confirmed the presence of colo-colic Intussusception, cecum-ascending-transverse colon. Laparotomy was scheduled, and a right hemicolectomy was done accordingly. Diagnosis of adenocarcinoma (Dukes stage B2) was made histologically. CONCLUSION: Intussusception in adults is a challenging diagnosis requiring high clinical suspicion and has a high incidence of fatal complications. Colonic cancer can be worsening by any infection and chronic medical problem. CT imaging is the lifesaving modality of choice for diagnosis. Good patient outcomes depend on timely diagnosis and recruitment of a multi-disciplinary team. |
format | Online Article Text |
id | pubmed-10347779 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-103477792023-07-15 Intussusception revealing right colonic adenocarcinoma in a 61-year-old woman: a case report Ali, Mohamed Osama Mohamed Mohamed, Noon Idris Abdelrahman Ahmed, Ahmed Abdelfattah Eltomelhussein Basher, Mohamed Osman Suliman Mohamed, Samya Abbas Abdelrazig Elgemaabi, Osama Mohieldin J Med Case Rep Case Report INTRODUCTION: Adult Intussusception is an uncommon diagnosis, with one to three cases occurring in a population of 1,000,000 per year, primarily due to underlying pathological lead points, of which 70% are malignant. Lipoma is the most common benign tumour, and primary adenocarcinoma is the most common malignant one. Early diagnosis and treatment are essential to reducing poor outcomes, including ischemia, perforation, and sepsis. Computed tomography imaging is a modality of choice for diagnosis. With a diagnostic accuracy of up to 100% and a specificity of up to 71%. Surgical intervention is the definitive treatment, and the decision is taken according to the situation. CASE PRESENTATION: A 61-year-old Black African female presented to our surgical casualty with intermittent colicky abdominal pain for 1 month. After that, she started to experience abdominal swelling in the right iliac fossa. A CT scan confirmed the presence of colo-colic Intussusception, cecum-ascending-transverse colon. Laparotomy was scheduled, and a right hemicolectomy was done accordingly. Diagnosis of adenocarcinoma (Dukes stage B2) was made histologically. CONCLUSION: Intussusception in adults is a challenging diagnosis requiring high clinical suspicion and has a high incidence of fatal complications. Colonic cancer can be worsening by any infection and chronic medical problem. CT imaging is the lifesaving modality of choice for diagnosis. Good patient outcomes depend on timely diagnosis and recruitment of a multi-disciplinary team. BioMed Central 2023-07-14 /pmc/articles/PMC10347779/ /pubmed/37443097 http://dx.doi.org/10.1186/s13256-023-04027-4 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Case Report Ali, Mohamed Osama Mohamed Mohamed, Noon Idris Abdelrahman Ahmed, Ahmed Abdelfattah Eltomelhussein Basher, Mohamed Osman Suliman Mohamed, Samya Abbas Abdelrazig Elgemaabi, Osama Mohieldin Intussusception revealing right colonic adenocarcinoma in a 61-year-old woman: a case report |
title | Intussusception revealing right colonic adenocarcinoma in a 61-year-old woman: a case report |
title_full | Intussusception revealing right colonic adenocarcinoma in a 61-year-old woman: a case report |
title_fullStr | Intussusception revealing right colonic adenocarcinoma in a 61-year-old woman: a case report |
title_full_unstemmed | Intussusception revealing right colonic adenocarcinoma in a 61-year-old woman: a case report |
title_short | Intussusception revealing right colonic adenocarcinoma in a 61-year-old woman: a case report |
title_sort | intussusception revealing right colonic adenocarcinoma in a 61-year-old woman: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10347779/ https://www.ncbi.nlm.nih.gov/pubmed/37443097 http://dx.doi.org/10.1186/s13256-023-04027-4 |
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