A Case of Intussusception due to Hemorrhagic Infarction with Cecal Cancer

Ryutaro Mori, Koichiro Misuta, Ryusei Matsuyama, Satoshi Hasegawa, Shiho Natori, Seiji Hasegawa, Akira Nakano and Yoichi Iemoto*

Department of Surgery and Department of Pathology*, Fujisawa Municipal Hospital

We report a case of intussusception caused by hemorrhagic infarction with cecal cancer. A 55-year-old woman admitted for continuous abdominal pain, diahrrea, and appetite loss was suspected in ultrasonography, computed tomography and barium enema examination of obstruction due to intussusception. Laparotomy showed that intussusception was caused by two cecal tumors and the cecum up to the hepatic flexure of the transverse colon was mobile, necessitating ileocecal resection with lymph node dissection. Histopathologically, the tumors involved cancer and hemorrhagic infarction. We surmised that repeated intussusception caused by cecum cancer formed a hemorrhagic infarction that completed the intussusception.

Key words
cecal cancer, intussusception, hemorrhagic infarction

Reprint requests
Ryutaro Mori Department of Surgery, Fujisawa Municipal Hospital
2-6-1 Fujisawa, Fujisawa, 251-0052 JAPAN

Accepted
December 17, 2004

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