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Intussusception due to vanishing colon cancer with metastasis of the regional lymph nodes: report of a case.

We present herein a case report of vanishing colon cancer with intussusception. A 70-year-old man with hematochezia was admitted to our hospital. Preoperative images showed ileus due to a colonic tumor. At operation, normograde intussusception without any tumor was recognized at the sigmoid colon. Interestingly, the regional lymph nodes were found to be invaded by tubular adenocarcinoma cells, thus suggesting that the colon cancer existed before the necrosis of the wall took place.

Adenocarcinoma↗

Primary malignant fibrous histiocytoma of the small intestine presenting as an intussusception: report of a case.

Malignant fibrous histiocytoma occurs most commonly in the extremities and trunk, but rarely in the visceral organs. Malignant fibrous histiocytoma of the small intestine is an extremely rare condition. To our knowledge, only ten cases of primary tumors involving the small intestine have been described up to now. Among them only one case has been reported to lead to intussusception. This case report documents the appearance of a storiform-pleomorphic type primary malignant fibrous histiocytoma of the ileum, which led to intussusception, in a 58-year-old man with a 3-month history of dyspepsia, weight loss, general fatigue, and nonspecific abdominal pain. The patient was well with no sign of disease at 8 months after surgery. The clinical and pathologic characteristics of malignant fibrous histiocytoma of the small intestine as found in the literature are also reviewed.

Histiocytoma, Benign Fibrous↗

Adult intussusception due to cocaine-induced bowel wall hematoma: a case study.

The authors present a patient in whom colocolic intussusception occurred as a result of bowel wall ischemia and hematoma. Imaging features and pathogenesis of bowel ischemia and intussusception will be briefly discussed, as well as its relationship to cocaine abuse. The importance of recognizing complications of cocaine abuse in today's emergency department patient population will be emphasized.

Adult↗

Appendicular intussusception into a polyp.

Intussusception of the appendix is a rare condition. We present the case of a 72-year-old woman with multiple polyps in the colon with an appendix completely intussuscepted into a polyp within the caecum. The clinical features, preoperative diagnosis, classification and treatment of this condition are discussed with reference to literature.

Aged↗

Etiologic and therapeutic aspects of intussusception in childhood.

Analysis of fifty-two instances of intussusception proved the importance of barium enema examinations as a diagnostic and therapeutic modality. Hypertrophy of the lymphatic tissue in the terminal ileum reactive to common diseases of infancy and childhood is of utmost importance in the etiology of "idiopathic intussusception."

Barium Sulfate↗

Double intussusception fatally complicated by clostridial infection in a dog (a case report).

A 10-month-old Alsation dog with history of anorexia, diarrhoea, dehydration and vomition developed a double intussusception which affected the distal jejunum and proximal ileum. Necropsy revealed the intussusception to be swollen and congested with fibrinous adhesions between the intussusceptum and intussuscepiens. Two pieces of bone believed to be the inciting cause were found within the intussusceptum. Clostridium welchii and Clostridium bifermentans were isolated from the lesions.

Animals↗

Papillary lymphoid hyperplasia of the terminal ileum: an unusual cause of intussusception and gastrointestinal bleeding in childhood.

Papillary lymphoid hyperplasia of the terminal ileum is a benign condition associated with abdominal pain, intussusception, and gastrointestinal hemorrhage. It appears to represent a distinct clinicopathologic entity, separate from the usual idiopathic intussusception of infancy and childhood. The lesions are reasonably well circumscribed, localized in the submucosa of the terminal ileum, and composed of lymphoid tissue with prominent germinal follicles. Management by ileocolectomy resulted in complete cure with no postoperative complications in our six cases. However, many authors recommend conservative therapy. The cause is not known but there may be some relationship between these cases and intestinal adenovirus infection.

Adenoviridae Infections↗

Colotomy with minimum resection for advanced irreducible intussusception.

A patient having a resection anastomosis for advanced (apex up to midsigmoid or beyond) irreducible intussusception would end up having an ileosigmoid or ileorectal anastomosis. The outer layer of the intussusception is almost never gangrenious; this outer layer can be saved by colotomy with minimum resection. The procedure consists of a colotomy made on the outer tube just proximal to the apex, and the apex is delivered and amputated. The inner tube is pulled out, the intermediate tube is reduced, trimming off the margins of both ends and anastomosis is made between ileum and ascending colon. This method offers the advantage of conserving a major part of the large bowel.

Anastomosis, Surgical↗

Intussusception: prediction of outcome of gas enema.

Gas has replaced barium as the preferred medium for enema reduction of intussusception in tertiary pediatric institutions. Previously, adverse clinical features that in combination predicted a low likelihood of successful reduction using barium had been identified and used to select patients suitable for attempted enema reduction. This study examines whether these adverse features are equally applicable to gas reduction of intussusception. For any given number of adverse features, gas enema reduction was found more likely to be successful than barium reduction and, in the absence of clinical evidence of peritonitis, multiple adverse features probably do not represent a contraindication to attempted gas enema reduction.

Child, Preschool↗

Perforation during hydrostatic reduction of intussusception: proposed mechanism and review of the literature.

Eight cases of children with intussusception in whom the bowel perforated during attempts at enema reduction are reviewed. Certain features in each case suggest that perforation may not be secondary to increased intraluminal pressure from the enema, but that necrotic perforated bowel is uncovered as the intussusception is reduced. A review of the basis for recommendations about the height of the enema bag during attempted reduction suggests that these guidelines are largely arbitrary and lack scientific support.

Colon↗

Luminal narrowing after autoanastomosis and intraluminal slough in intussusception: a case report and historical review.

Historical literature notes slough of an intussusceptum with autoanastomosis as an infrequent natural course of childhood intussusception resulting in survival. The case of an 8-year-old boy with abdominal pain several years after an apparent untreated childhood intussusception is presented. Cecal resection shows evidence of previously sloughed intussusceptum with cicatral luminal narrowing at site of autoanastomosis. This case illustrates a rare cause of abdominal pain and partial intestinal obstruction in childhood.

Child↗

Intussusception, adenovirus, and children: a brief reaffirmation.

Surgical specimens (n = 48) or autopsy case materials (n = 15) were studied from 63 pediatric patients (44 males and 19 females) with intussusceptions involving the ileocecal junction (38 patients [60.3%]), ileum (16 patients [25.4%]), jejunum (four patients [6.3%]), and other sites (five patients [8%]). Lymphoid hyperplasia formed the leading edge in 32 cases (51%); other lesions included Meckel diverticulum (six cases), lymphoma (four cases), adenomyomatous hamartoma (four cases), cecal duplication cyst (three cases), ectopic pancreas (two cases), congenital bowel malformation (two cases), and examples of Peutz-Jeghers polyp, lymphangioma, leiomyoma, and inflammatory fibroid polyp (one case each). In six cases there was no associated lesion. Immunohistochemical evaluation for adenovirus was performed in 16 of the 32 cases in which lymphoid hyperplasia was present, and five reactive cases were identified; characteristic intranuclear adenovirus inclusions were visible on hematoxylin-eosin-stained specimens from all five of these cases as well as in five additional cases (a total of 10 of 32 cases [31.2%]). The presence of Yersinia sp was confirmed by serology in one case having characteristic histologic findings. Fourteen deaths were attributable to consequences of intussusception; these patients were younger (median and mean ages, 5.5 and 8.6 months; age range, 1 month to 3.5 years) than the surviving patients (median and mean ages, 2.0 and 3.2 years; age range, 6 days to 14 years), but were not more likely to have evidence of adenovirus infection.

Adenovirus Infections, Human↗

Ureteral intussusception by papillary transitional cell carcinoma.

A case of ureteral intussusception caused by a low-grade papillary transitional cell carcinoma of the ureter is described. This is the first case of ureteral intussusception resulting from a malignant tumor of the ureter. The patient presented with weight loss and vague pain in the right lower abdominal quadrant. Right ureterovesical junction obstruction was seen in the retrograde pyeloureterogram. Right nephroureterectomy including a cuff of adjacent bladder wall was performed.

Aged↗

Intussuscepted Meckel diverticulum: radiologic-pathologic correlation.

Nine cases of Meckel diverticulum presenting with intussusception were reviewed and correlated clinically, radiologically and pathologically. The appearance of intussuscepted Meckel diverticulum by small bowel series is not specific. However, by CT, a central fat density surrounded by a thick collar of soft tissue was noted in one case correlating well with the gross pathologic appearance. The pathologic material in all our cases suggests that this CT appearance is characteristic of an inverted Meckel diverticulum.

Barium Sulfate↗

Intussusception encephalopathy: an underrecognized cause of coma in children.

Intestinal intussusception is a common cause of bowel obstruction in infancy and early childhood. Typically the presenting signs and symptoms are referable to the abdomen. On occasion the most prominent presenting feature is depressed level of consciousness. We describe 3 patients who presented with coma associated with intussusception.

Child, Preschool↗