Progress of Digestive Endoscopy
Online ISSN : 2187-4999
Print ISSN : 1348-9844
ISSN-L : 1348-9844
症例
盲腸粘膜下膿瘍が原因であった腸重積の1例
磯 直樹有賀 啓之水井 恒夫鹿志村 純也
著者情報
キーワード: 腸重積, 粘膜下膿瘍
ジャーナル フリー

2020 年 97 巻 1 号 p. 128-129

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A 45-year-old man visited our hospital for unrelenting abdominal pain since the day before presentation. Physical examination showed right upper abdominal tenderness. Blood tests revealed evidence of an inflammatory response; however, no other abnormalities were detected. Computed tomography revealed intussusception (telescoping of the small intestine into the ascending colon). A cystic lesion was detected near the root of the appendix in the advanced region. We performed colonoscopy, which revealed a submucosal tumor in the vicinity of the hepatic curve in the advanced region, and we performed ileocolic resection. Histopathological examination of the resected specimen showed an edematous lesion with inflammatory cell infiltration, and we also observed a submucosal abscess. Previous studies have reported that approximately 50% of the lesions were malignant, and 90% of patients underwent operation in cases of cecal intussusception. We report a rare case of intussusception secondary to a cecal submucosal abscess.

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© 2020 一般社団法人 日本消化器内視鏡学会 関東支部
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