Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
Online ISSN : 1882-5133
Print ISSN : 1345-2843
ISSN-L : 1345-2843
CLINICAL STUDIES
A case of intussusception caused by rectal cancer
Kazuki HORI, Norihisa HANADA, Shuichi KUSANO, Yasuyuki TSURUMOTO
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2008 Volume 69 Issue 3 Pages 626-630

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Abstract
A 92-year-old woman was admitted to our hospital complaining of left lower abdominal pain and bloody mucinous attachment on her underwear. The smooth tumor with irregular lesion was partly palpable at the 3 cm oral side from the anal verge. Colonofiberscopy visualized a submucosal tumor with ulcer and a type 2 tumor near the anal verge. Gastrografin enema showed the tumor as a hay-fork sign, and intussusception was not reduced by inflation. We suspected that the mass might cause intussusception. Pelvic CT revealed the low density mass at the lower rectum. Hartmann's operation was performed under a diagnosis of rectal cancer with intussusception.
We present this case with some bibliographical comments, because intussusception caused by rectal cancer is very rare.
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© 2008 Japan Surgical Association
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