A Case of Adult Intussusception of the Colon Caused by Leiomyoma.
- Author:
Hyun Hee LEE
1
;
Kyoung Soo LEE
;
Weon Jung JEON
;
Jeong Chul SEO
;
Yong Mo YANG
;
Ji Bong JEONG
;
Ki Won CHOI
;
Hi Bok CHAE
;
Seon Mee PACK
;
Sei Jin YOUN
;
Sang Jeon LEE
Author Information
1. Department of Internal Medicine, Chungbuk National University College of Medicine, Cheongju, Korea.
- Publication Type:Case Report
- Keywords:
Adult;
Intussusception;
Leiomyoma;
Colon
- MeSH:
Abdomen;
Adolescent;
Adult*;
Colon*;
Colon, Descending;
Diagnosis;
Diarrhea;
Gastrointestinal Tract;
Humans;
Intussusception*;
Leiomyoma*;
Pathology;
Physical Examination;
Smooth Muscle Tumor;
Tomography, X-Ray Computed
- From:Korean Journal of Gastrointestinal Endoscopy
2000;21(2):654-657
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Adult intussusception represents 1% of patients with bowel obstruction and 5% of all intussusception. It presents with a variety of acute, intermittent and chronic symptoms, thus making its preoperative diagnosis is difficult. Overall, colonic intussusception in adults is most often related to a primary carcinoma and benign smooth muscle tumors of the gastrointestinal tract are uncommon. We experienced a case of adult intussusception of the colon caused by leiomyoma. The 18-year old man was suffered from intermittent, colicky left lower quadrant pain and bloody diarrhea. Physical examination revealed a mass in the left lower abdomen. An abdominal CT scan revealed a "target mass" in the distal colon. The patient was treated with segmental resection of the descending colon and anastomosis. Pathology revealed a benign leiomyoma of the distal colon as the leading point of the colo-colic intussusception. His postoperative course was uneventful and did well.
