A Case of Adult Intussusception with Perforation caused by Rectal Cancer

Daisuke Suzuki, Fumihiko Shimamura and Masaru Miyazaki*

Chiba Emergency Medical Center
Department of General Surgery, Chiba University Graduate School of Medicine*

We report a case of intussusception with cancer-induced rectal perforation. A 86-year-old woman admitted for sudden abdominal pain onset, vomiting, and abdominal distention was found on rectal examination through the anal canal to have a soft rectal mass. Computed tomographic (CT) showed ascites, intraperitoneal free air, and a rectal mass with intussusception. Based on a diagnosis of intussusception and tumor-induced rectal perforation, we conducted emergency laparotomy. The peritoneal cavity confained dirty fluid, the rectal tumor, and upper-rectum intussusception. Repositioning the intussusception by Hutchinson's method revealed a perforation in the anterior rectal wall, necessitating Hartmann's operation, peritoneal lavage, and drainage. Intussusception with perforation caused by rectal cancer is very rare, so we present this case with some bibliographical comments.

Key words
adult intussusception, rectal cancer, rectal perforation

Reprint requests
Daisuke Suzuki Department of General Surgery, Chiba University Graduate School of Medicine
1-8-1 Inohana, Chuo-ku, Chiba, 260-8677 JAPAN

Accepted
July 22, 2009

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