A case of retrograde intussusception due to transverse colon cancer detected by abdominal ultrasonography

DOI
  • FUKUDA Kaho
    Department of Gastroenterology, Hiroshima Red Cross Hospital & Atomic-bomb Survivors Hospital
  • OKANOBU Hideharu
    Department of Gastroenterology, Hiroshima Red Cross Hospital & Atomic-bomb Survivors Hospital
  • OKAMOTO Takuya
    Department of Gastroenterology, Hiroshima Red Cross Hospital & Atomic-bomb Survivors Hospital
  • SAKAMOTO Aiko
    Department of Gastroenterology, Hiroshima Red Cross Hospital & Atomic-bomb Survivors Hospital
  • TANAKA Yusuke
    Department of Gastroenterology, Hiroshima Red Cross Hospital & Atomic-bomb Survivors Hospital
  • BODA Kazuki
    Department of Gastroenterology, Hiroshima Red Cross Hospital & Atomic-bomb Survivors Hospital
  • KOHNO Tomohiko
    Department of Gastroenterology, Hiroshima Red Cross Hospital & Atomic-bomb Survivors Hospital
  • TAKAKI Shintaro
    Department of Gastroenterology, Hiroshima Red Cross Hospital & Atomic-bomb Survivors Hospital
  • YAMAGUCHI Shohei
    Department of Surgery, Hiroshima Red Cross Hospital & Atomic-bomb Survivors Hospital
  • FURUKAWA Yoshinari
    Department of Gastroenterology, Hiroshima Red Cross Hospital & Atomic-bomb Survivors Hospital

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Other Title
  • 腹部超音波検査が有用であった横行結腸癌による逆行性腸重積症の1例

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Abstract

<p>A 78-year-old female patient presented to our hospital with abdominal pain and melena. Abdominal ultrasonography detected a multiple concentric ring sign and retrograde invagination mass near the hepatic flexure. Colonoscopy revealed a 40-mm diameter type 1 tumor in the transverse colon near the splenic flexure, and the biopsy specimen demonstrated a well-differentiated adenocarcinoma. Retrograde intussusception due to transverse colon cancer was diagnosed, and laparoscopic transverse colon resection with lymph node dissection was performed. The resected specimen revealed a 48×40mm diameter type 1 tumor in the transverse colon and was diagnosed as pT2N0M0 pStage I. Contrast-enhanced computed tomography was unavailable, but real-time assessment of the invaginated mass and bowel blood flow was possible by abdominal ultrasonography, which was useful in determining the diagnosis and treatment strategy.</p>

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