Intussusception Causing Painless Hematochezia in an Adult
| Autor: | Anand Kumar, Deborah Nautsch |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Abdominal pain Colon medicine.medical_treatment Colonoscopy 03 medical and health sciences 0302 clinical medicine Intussusception (medical disorder) Laparotomy medicine Ascending colon 060201 languages & linguistics medicine.diagnostic_test business.industry Transverse colon 06 humanities and the arts General Medicine Lipoma medicine.disease Hematochezia 0602 languages and literature Image 030211 gastroenterology & hepatology Radiology medicine.symptom business |
| Zdroj: | ACG Case Reports Journal |
| ISSN: | 2326-3253 |
| DOI: | 10.14309/crj.2016.70 |
| Popis: | A 63-year-old woman was hospitalized after 2 episodes of mucoid, maroon-colored stools. She denied any prior or current episodes of abdominal pain, vomiting, fever, or recent travel. She was hemodynamically stable without significant drop in hematocrit. Colonoscopy revealed a 5-cm polypoid mass in the ascending colon with ulceration and fat eroding through the mucosa (Figure 1). The colonicsegment proximal to the mass could not be visualized on colonoscopy, but abdominal computed tomography (CT) showed a 5 x 3 x 4-cm fat density mass at the hepatic flexure causing colocolic intussusception of the ascending colon into the proximal transverse colon. Axial CT demonstrated the classical “target” sign and coronal view demonstrated a “sausage-shaped” mass (Figure 2). Initially, the patient refused surgical intervention but subsequently agreed, as she had recurrent rectal bleeding. On laparotomy, the ascending colonic segment was found gangrenous; therefore, a right hemicolectomy with ileocolic anastomosis was performed. Histolopathology confirmed a benign submucosal lipoma (Figure 3) and normal lymph nodes. Postoperatively the patient recovered well. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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