Abstract
It has been reported that about 60-80% of intussusceptions of large bowel in adults are caused by cancer. So far almost 60 adult cases of intussusception due to cecal cancer have been reported in the Japanese literature. We report 6 adult patients with intussusception due to cecal cancer. The average age was 59.2 years old (range 36-77), with the male-to-female ratio of 3 : 3. Two patients were performed emergency operation, one, elected operation without reduction, and three elected operation with preoperative reduction. Except for the last three patients, intussusception had naturally been reducted at laparotomy in one, it was reducted with Hutchinson maneuver before resection in one, and it was resected without reduction in one patient. As for the Stage of cecal cancers, one was in fStage I, three were in fStage II and two in fStage IIIa, and all patients have been doing well without cancer recurrence. Adult patients with intussusception of large bowel with cecal cancer had variable symptoms and it was not always necessary to perform emergency operation. And even if elected operation was chosen, reduction before operation was not always necessary.
