A Case of Multiple Colorectal Polyps who Underwent Emergency Subtotal Colectomy Due to Intussuscepation

Abstract

We report a case of multiple colorectal polyps requiring emergency subtotal colectomy due to intussusception. A 48–year–old woman diagnosed in colonoscopy with multiple colorectal polyps and due to be examined for anemia could not undergo endoscopy due to sigmoid colon adenoma too large to be snared through the proximal colon. Elective surgery was planned but computed tomography (CT) and abdominal pain and fullness yielded a diagnosis of intussusception with a multiple concentric ring sign necessitating emergency surgery. Operative findings showed sigmoid colon intussusception requiring subtotal colectomy for 42 adenomas, starting with a huge protruding 70 × 50 mm tumor. The pathological diagnosis was low–grade tubular adenomas without malignancy.