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Adult rectosigmoid junction intussusception presenting with rectal prolapse
Singapore medical journal ; : e78-81, 2015.
Artigo em Inglês | 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.
Assuntos
Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Patologia / Prolapso / Reto / Colo Sigmoide / Cirurgia Geral / Dor Abdominal / Prolapso Retal / Colectomia / Demência / Diagnóstico Tipo de estudo: Estudo diagnóstico Limite: Idoso / Feminino / Humanos Idioma: Inglês Revista: Singapore medical journal Ano de publicação: 2015 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Patologia / Prolapso / Reto / Colo Sigmoide / Cirurgia Geral / Dor Abdominal / Prolapso Retal / Colectomia / Demência / Diagnóstico Tipo de estudo: Estudo diagnóstico Limite: Idoso / Feminino / Humanos Idioma: Inglês Revista: Singapore medical journal Ano de publicação: 2015 Tipo de documento: Artigo