Korean J Gastrointest Endosc.
2000 Aug;21(2):654-657.
A Case of Adult Intussusception of the Colon Caused by Leiomyoma
- Affiliations
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- 1Department of Internal Medicine, Chungbuk National University College of Medicine, Cheongju, Korea.
- 2Department of Surgery, Chungbuk National University College of Medicine, Cheongju, Korea.
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.
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