Adult Sigmoido-recto-anal Intussusception by a Sigmoid Colon Adenoma.
10.3393/jksc.2009.25.2.121
- Author:
Young Jin PARK
1
Author Information
1. Department of Surgery, Dongguk University International Hospital, Dongguk University School of Medicine, Goyang, Korea. parkyj@duih.org
- Publication Type:Case Report
- Keywords:
Sigmoido-recto-anal intussusception;
Adenomatous polyp
- MeSH:
Adenoma;
Adenomatous Polyps;
Adult;
Anal Canal;
Anesthesia, General;
Colon, Sigmoid;
Emergencies;
Humans;
Intussusception;
Prolapse
- From:Journal of the Korean Society of Coloproctology
2009;25(2):121-124
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Although rectal procidentia is not an uncommon disease, presentation of more proximal segments of the large bowel through the anus is extremely rare. A case with sigmoido-recto-anal prolapse secondary to a large adenoma of the sigmoid colon is reported herein. A 28-yr-old man with an anal prolapsing mass was admitted to our hospital. Preoperative CT scan showed a sigmoid-recto-anal prolapse. An emergency operation was decided upon because the prolapsed segment was irreducible and because its viability was questionable. After a manual reduction of the mass, an anterior resection was performed under general anesthesia. The pathologic diagnosis of the resected specimen was a large villo-tubular adenoma.