Gan to kagaku ryoho. Cancer & chemotherapy · 2014
[A case of colonoscopy release of intussusception due to sigmoid colon cancer].
Клинический случайАннотация на английскомСтатьяОбзорНазвание и аннотация: Перевод в очереди
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Taenaka Hiroki, Kagawa Yoshinori, Sakisaka Hideki, Kato Takeshi, Mukai Yosuke, Sato Yasufumi, Morimoto Yoshihiro, Kusama Hiroki, Hashimoto Tadayoshi, Matsushita Katsunori, Kawashima Hiroshi, Kimura Kei, Katsura Yoshiteru, Nitta Kanae, Okishiro Masatsugu, Takeno Atsushi, Nakahira Shin, Taniguchi Hirokazu, Egawa Chiyomi, Takeda Yutaka, Tamura Shigeyuki
Аннотация
A 53-year-old woman with recurrent abdominal pain was referred to our hospital. Based on the enhanced abdominal computed tomographic (CT) finding, she was diagnosed with intussusception of the sigmoid colon. Colonoscopy was performed to release the intussusception, and a lead point lesion was detected. An advanced cancer was found in the rectum, which could be pushed back into the sigmoid colon easily using pressurized air. A more-advanced colon cancer was also detected on the oral side of the lesion. The patient was diagnosed with double cancer of the sigmoid colon and was treated with laparoscopic sigmoidectomy with lymph node resection (D3). Preliminary reduction by colonoscopy prior to surgery is an effective option in cases of adult intussusception. Colonoscopy can be used to perform definitive and qualitative diagnoses.