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Case Reports
. 2012 Dec 15:10:272.
doi: 10.1186/1477-7819-10-272.

Synchronous adenocarcinomas of the colon presenting as synchronous colocolic intussusceptions in an adult

Chuang-Wei Chen  1 , Chieh-Wen Lai, Koung-Hong Hsiao
Affiliations
Case Reports

Synchronous adenocarcinomas of the colon presenting as synchronous colocolic intussusceptions in an adult

Chuang-Wei Chen et al. World J Surg Oncol. .

Abstract

Intussusception is uncommon in adults. To our knowledge, synchronous colocolic intussusceptions have never been reported in the literature. Here we described the case of a 59-year-old female of synchronous colocolic intussusceptions presenting as acute abdomen that was diagnosed by CT preoperatively. Laparotomy with radical right hemicolectomy and sigmoidectomy was undertaken without reduction of the invagination due to a significant risk of associated malignancy. The final diagnosis was synchronous adenocarcinoma of proximal transverse colon and sigmoid colon without lymph nodes or distant metastasis. The patient had an uneventful recovery. The case also emphasizes the importance of thorough exploration during surgery for bowel invagination since synchronous events may occur.

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Figures

Figure 1
Figure 1
Computer tomography (CT) (arrows) showed the characteristic signs of the edematous bowel wall and mesentery within the lumen at the proximal transverse colon (A and B) and the rectosigmoid junction (B and C).
Figure 2
Figure 2
The surgical specimens showed synchronous tumors at the proximal transverse colon and sigmoid colon.
See this image and copyright information in PMC

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