A Case of Cecal Cancer Complicated with Intussusception Treated Laparoscopically

A 75-year-old woman presented with the chief complaint of right lower abdominal pain. There was mild tenderness in the lower right abdomen and a mass was palpated. There were no peritoneal irritation symptoms. A CT examination was performed. The ascending colon was invaginated with a part of the cec...

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Bibliographic Details
Published inGan to kagaku ryoho Vol. 46; no. 13; p. 2375
Main Authors Fukata, Tadafumi, Okimura, Shumpei, Ito, Yoshiro, Taniguchi, Yoshiki, Nishida, Hisashi, Shingai, Tatsushi, Takayama, Osamu, Yoshioka, Setsuko, Hojo, Shigeyuki, Ohigashi, Hiroaki, Fukuzaki, Takayuki
Format Journal Article
LanguageJapanese
Published Japan 01.12.2019
Subjects
Aged
Cecal Neoplasms - complications
Cecal Neoplasms - surgery
Cecum
Colectomy
Female
Humans
Intussusception - etiology
Intussusception - surgery
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Summary:A 75-year-old woman presented with the chief complaint of right lower abdominal pain. There was mild tenderness in the lower right abdomen and a mass was palpated. There were no peritoneal irritation symptoms. A CT examination was performed. The ascending colon was invaginated with a part of the cecum and ileum. Wall thickening was observed in the advanced part. Colon cancer was suspected. The preoperative diagnosis was considered to be an intussusception with cecal cancer at the advanced part. A laparoscopic ileocecal resection was performed. The intraoperative findings were as follows. The tumor was invading the ascending colon, but it was possible to restore it by pressing on the developed part with forceps. The pathological diagnosis was Type 2, muc>tub1, pT4aN0M0, pStageⅡb. The postoperative course was good. Water intake was started on the next day, meals were started from the second day, and the patient was discharged on the 9th day after the operation. Cecal cancer complicated with intussusception is a relatively rare disease. We report a case that was laparoscopically operable.
ISSN:0385-0684