Adult Intussusception Induced by Colonic Adenocarcinoma: A Case Report

大腸腺癌導致成人腸套疊：病例報告

簡紅宛(Hung-Wan Chien) ； 吳肇鑫(Chao-Hsin Wu) ； 蔡銘佑(Ming-Yu Tsai) ； 陳永福(Ying-Hock Teng)

《中華民國急救加護醫學會雜誌》 20卷4期 (2009/12) Pp. 221-225

https://doi.org/10.30018/JECCM.200912.0009

摘要

大腸腺癌導致成人腸套疊是很少見。本篇病例報告，是一個45歲女性，由於大腸癌導致腸套疊的案例。病人呈現間歇性右下腹痛、噁心嘔吐，併水瀉，症狀持續4天。腹部電腦斷層發現：腸套疊從迴腸末端套入升結腸。手術後診斷證實是大腸腺癌導致成人腸套疊。結論：成人腸套疊的症狀並無特異性，所以很難在手術前被診斷出來。但可藉由腹部電腦斷層掃描診斷出。由於大腸腸套疊有可能是大腸癌造成的，所以需考慮以手術治療之。

關鍵字

大腸腺癌 ； 腸套疊

並列摘要

Adult intussusception caused by colonic adenocarcinoma is rare. We report a 45-year-old woman with a colonic adenocarcinoma that induced ileo-cecal intussusception. The patient presented with symptoms of intermittent right-lower-quadrant abdominal pain, diarrhea, nausea and vomiting that had lasted four days. Abdominal computed tomography demonstrated intussusception from the terminal ileum into ascending colon and ileo-cecal intussusception was confirmed by surgery. The pathological report indicated colonic adenocarcinoma. In conclusion, the clinical signs of adult intussusception may be nonspecific and preoperative diagnosis is difficult. Abdominal computed tomography offers the most useful diagnostic information. Surgical intervention should be considered because of the high risk of the presence of a tumor.

並列關鍵字

colonic adenocarcinoma ； intussusception