Adult rectosigmoid junction intussusception presenting with rectal prolapse
Singapore medical journal
;
: e78-81, 2015.
Article
in English
| WPRIM
| ID: wpr-337147
ABSTRACT
Most cases of intussusception in adults present with chronic and nonspecific symptoms, and can sometimes be challenging to diagnose. We herein report on a patient with the rare symptom of colonic intussusceptions presenting with rectal prolapse and review the existing literature of similar case reports to discuss how to reach an accurate diagnosis. A 75-year-old woman with dementia presented with per rectal bleeding, rectal prolapse and lower abdominal pain. An operation was scheduled and a large sigmoid intussusception with a polyp as a leading point was found intraoperatively. She subsequently recovered well and was discharged. As large sigmoid intussusceptions may present as rectal prolapse, intussusception should be considered as a differential diagnosis for immobile patients, especially when the leading point is a lesion.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pathology
/
Prolapse
/
Rectum
/
Colon, Sigmoid
/
General Surgery
/
Abdominal Pain
/
Rectal Prolapse
/
Colectomy
/
Dementia
/
Diagnosis
Type of study:
Diagnostic study
Limits:
Aged
/
Female
/
Humans
Language:
English
Journal:
Singapore medical journal
Year:
2015
Type:
Article
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