A Case of Elective Resection of the Colon after Successful Reduction of Intussusception caused by Sigmoid Colon Carcinoma with using Colorectal Tube

Ichiro Ohsawa¹⁾²⁾, Yasuo Katsumine¹⁾, Hiroyuki Yuasa¹⁾, Naoya Noda¹⁾, Shinichi Uehara¹⁾, Yoshikazu Akasaka¹⁾ and Shuji Isaji²⁾

Department of Surgery, Mie Prefectural Shima Hospital¹⁾
Department of Hepatobiliary Pancreatic Surgery, Mie University Graduate School of Medicine²⁾

We report a case of a 92-year-old woman successfully treated with elective colon resection after successful reduction of intussusception caused by sigmoid colon carcinoma using a colorectal tube. We reviewed 81 cases of intussusception secondary to sigmoid colon cancer from the Japanese literature. According to the intussusceptum location, S-R type located in the rectum accounted for 42 cases and S-P type located in the perineum for 30 cases. The remaining 9 cases were located in the oral side to sigmoid colon. In the S-P type, 80% of the patients were woman, but the S-R type showed no gender significance. The rate of abdominal ileus was only 10% in the S-P type, significantly lower than the 38% in the S-R type. The rate of resection following intussusception reduction was significant higher in the S-R type at 83% than in the S-P type at 53% while reduction was not possible in 12% of the S-R type or 23% of the S-P type. Around 30% in both groups required colostomy. If possible, elective resection of colon carcinoma with intussusception is recommended. Our case series is, to our knowledge, the first report of primary elective resection of the colon after reduction of intussusception using a colorectal tube.

Key words
sigmoid neoplasm, intussusception, colorectal tube

Reprint requests
Ichiro Ohsawa Department of Hepatobiliary Pancreatic Surgery, Mie University Graduate School of Medicine
2-174 Edobashi, Tsu, 514-8507 JAPAN

Accepted
July 23, 2008

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