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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...

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Autores principales: Ali, Mohamed Osama Mohamed, Mohamed, Noon Idris Abdelrahman, Ahmed, Ahmed Abdelfattah Eltomelhussein, Basher, Mohamed Osman Suliman, Mohamed, Samya Abbas Abdelrazig, Elgemaabi, Osama Mohieldin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
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.
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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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