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At least 91 records · Page 5Linked to original sources
PubMed1993

Intussusception caused by a carcinoma of the cecum during pregnancy: report of a case and review of the literature.

A case of intussusception due to a carcinoma of the cecum during pregnancy is reported. A 27-year-old pregnant female was admitted to Shimodate Municipal Hospital because of abdominal pain, nausea and vomiting. Her abdomen was distended, and a relatively hard mass was palpable in the right hypochondrium. Following a diagnosis of intussusception by ultrasonography, a laparotomy was performed. The lesion causing the intussusception was found to be a carcinoma of the cecum, and thus a right hemicolectomy with lymph node dissection was carried out. Histological examination revealed that the tumor was a well-differentiated adenocarcinoma which had invaded the muscularis propria but was superficial to the subserosa. None of the lymph nodes were cancerous. The incidence of colonic cancer above the peritoneal reflection during pregnancy is very low. Only 24 cases have been previously reported; our patient is only the 25th case, as well as being the first case demonstrating Dukes' A. Due to the intussusception, ultrasonography was effective for diagnosis and the patient was able to undergo a curative operation at an earlier stage than other patients.

Adenocarcinoma↗
PubMed1981

Ultrasonography of the cecum.

Ultrasound can define masses in the cecum and the cecal bed. In the patient with a prior resection of adenocarcinoma of the cecum, the sonogram fulfills a primary role in the detection of large and ill-defined recurrences not amenable to detection by barium enema because of a right colectomy. Discrete lesions within the cecum whether secondary to inflammatory or neoplastic processes could not be differentiated.

Adenocarcinoma↗
PubMed1990

Cecocolic intussusception in multiple lymphomatous polyposis of the gastrointestinal tract. Report of a case.

A rare case of recurrent cecocolic intussusception in an adult patient with multiple lymphomatous polyposis of the gastrointestinal tract is presented. Clinical features, especially the difficulty in distinguishing this entity from adenomatous polyposis on colonoscopy, and histopathology are discussed. It is important that surgeons and colonoscopists be aware of this rare form of diffuse gastrointestinal lymphoma because of therapeutic implications.

Cecal Diseases↗
PubMed1988

Burkitt's lymphoma protruding through the anus. Report of an unusual case.

A four-year-old boy had a cecoanal intussusception prolapsing through the anus. A 4 x 4 cm cecal tumor served as the leading point of the intussusception. Laparotomy and histology revealed that the tumor was a solitary Burkitt's lymphoma of the cecum. Isolated Burkitt's lymphoma, as presented here, is rare, and such a combination has never been reported. Intussusception prolapsing through the anus and Burkitt's lymphoma are discussed, as well as a possible reason for the rarity of the condition.

Burkitt Lymphoma↗
PubMed1977

Malignant appendiceal carcinoid with intussusception of the base manifesting as a cecal tumor: report of a case.

A case of an appendiceal carcinoid tumor with regional lymph-node metastases is presented. The size of the tumor was remarkable, as the appendix was infiltrated throughout its length. The proximal part of the appendix was intussuscepted into the cecum. Preoperatively, the lesion was diagnosed as a polypoid tumor of the cecum. A primary right hemicolectomy was carried out.

Adult↗
PubMedDate not supplied

Tuberculosis of the cecum simulating carcinoma.

A case is described of tuberculosis of the cecum mimicking carcinoma so closely that a conventional cancer operation was carried out. Ileocecal tuberculosis, reported in the literature, is briefly reviewed with special attention to its incidence, clinical manifestations, clinical investigation, and treatment.

Cecal Diseases↗
PubMedDate not supplied

Stercoraceous perforation of the cecum: report of two cases.

Two cases of stercoraceous perforation of the cecum with adjacent mass formation simulating a neoplasm are described. The predisposing factors for the formation of fecalomas and the mechanisms of perforation are discussed and a review of the literature on this subject is presented. There were no demonstrable predisposing colonic lesions to account for the fecaloma formation in these casesmboth patients recovered completely after surgical treatment of the lesions.

Cecal Diseases↗
PubMed2005

An unusual presentation of colon cancer in a young individual.

Intussusception occurs rarely in adults. It presents with a variety of acute, intermittent, and chronic symptoms, thus making its preoperative diagnosis difficult. CT scan of the abdomen and pelvis usually reveals the diagnosis of intussusception in adults. Surgical resection of the intussusception without reduction is the preferred treatment in adults, as almost half of both colonic and enteric intussusceptions are associated with malignancy. However, the choice and timing of operation will depend on the clinical condition of the patient and the status of the invaginating tumor. Colon cancer in young individuals is usually aggressive, with a dismal prognosis.

Adenocarcinoma↗
PubMed1988

Permanent chondrification in the pelvis and occurrence of hernias in mice treated neonatally with tamoxifen.

Male and female C57BL/Tw mice were given 5 daily subcutaneous injections of 100 micrograms tamoxifen (Tx), starting on the day of birth (Tx mice). In untreated fetal mice on day 18 of gestation, the greater part of the pubic and ischial bones were cartilaginous. At more than 30 days of age, however, untreated mice showed completely calcified pelvic bone, whereas in age-matched Tx mice the greater part of the junctional regions in the pelvis remained cartilaginous. Treatment with Tx starting within 5 days of age caused bladder hernia with or without cecum hernia. The pubic ligament in Tx mice at ages of 30-540 days was markedly expanded as compared with that in age-matched controls. The permanent chondrification in the pelvis was found in all mice given Tx starting within 10 days of age. By contrast, neonatal treatments of mice with other antiestrogens, clomiphene and nafoxidine (100 micrograms/day), induced neither permanent chondrification in the pelvis nor expansion of the pubic ligament nor hernia. These findings suggest that Tx has a specific effect on the symphysis pubis and some junctional regions of the developing pelvis in mice when given neonatally.

Animals↗
PubMed1993

Surgical management of cecal diverticulitis.

Ninety surgical cases of cecal diverticulitis at the University of Hawaii hospitals were reviewed from 1980 to 1991. Seventy-eight percent of the study group were of Asian descent, with a mean age of 41.7 years. Right lower quadrant pain and tenderness were the only constant findings, occurring in 86 and 87 of the 90 patients, respectively. The most common preoperative diagnosis was acute appendicitis, occurring in 73% of patients. A right colectomy or cecectomy was performed in 49 patients, an appendectomy in 29, and a diverticulectomy in 10. Seventeen complications occurred, only 1 of which was in the appendectomy group. Follow-up of up to 10 years was successful in 27 of 29 appendectomy patients, only 4 of whom had recurrent pain. There were no instances of a missed cecal carcinoma. We concluded that in those patients in whom carcinoma can be ruled out and in whom there is no evidence of abscess formation, appendectomy combined with postoperative antibiotics is a safe and effective method for the treatment of cecal diverticulitis.

Adolescent↗
PubMed1984

Caecal volvulus: a frequently missed diagnosis?

Fifty-eight patients with acute caecal volvulus are presented. Fifty-five patients had plain abdominal radiographs taken shortly after admission and the diagnosis was suspected in 29 (53%). Forty-five of these radiographs have been reviewed and, in retrospect, the diagnosis could have been made in 40 (89%). The dilated caecum usually assumes a 'comma-shape', retains its haustral markings and may be located anywhere within the abdomen but is most frequently seen centrally or occupying the left upper quadrant. Diagnostic difficulties were found in patients with peritonitis and when there was gross small bowel dilatation. Accurate diagnosis is vital as delay in the surgical treatment of this condition may lead to an increased incidence of gangrene of the caecum and a higher mortality.

Acute Disease↗