A Case of Sigmoid Intussusception Diagnosed by Sigmoidoscopy / 대한소화기내시경학회지
Korean Journal of Gastrointestinal Endoscopy
; : 169-172, 2008.
Article
in Ko
| WPRIM
| ID: wpr-204741
Responsible library:
WPRO
ABSTRACT
Intussusception most commonly occurs in children, and in more than 90% of cases, no cause is found. In contrast, intussusception in adults is relatively rare but over 90% of patients have an organic lesion as the cause. Only 5% of cases of intussusception occur in adults and most involve the small intestine and are benign, whereas colonic intussusceptions are usually malignant. We report here a case of a 70-year-old man with intussusception who was referred with a one-day history of hematochezia and abdominal pain. The intussusception was caused by a sigmoid colonic tumor. The CT findings suggested that we could reasonably proceed to a sigmoidoscopy to confirm the site of obstruction. We speculated that the sigmoid colon tumor induced the anterograde intussusception. As with our patient, it is important to recognize the need to diagnose the primary lesion exactly and promptly.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Colon, Sigmoid
/
Abdominal Pain
/
Sigmoidoscopy
/
Colon
/
Sigmoidoscopes
/
Gastrointestinal Hemorrhage
/
Intestine, Small
/
Intussusception
Type of study:
Diagnostic_studies
Limits:
Adult
/
Aged
/
Child
/
Humans
Language:
Ko
Journal:
Korean Journal of Gastrointestinal Endoscopy
Year:
2008
Type:
Article