Ileocecal intussusception extending to left colon due to endometriosis

M. Rodríguez-López, M Rodriguez-Lopez, M Bailon-Cuadrado, Bailon-Cuadrado M, M. Bailón-Cuadrado, F J Tejero-Pintor, Choolani E, E. Choolani, G Fernandez-Perez, Fernandez-Perez G, G. C. Fernández-Pérez, A.M. Tapia, A Tapia-Herrero
Annals of the Royal College of Surgeons of England · 2018 · vol. 100(3) , pp. e62–e63 · doi:10.1308/rcsann.2017.0225 · PMID:29364012 · PMC5930104 · W2785165833
Case report OA: bronze CC0 ⤵ 12 in-corpus citations
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A 37-year-old woman presented with ileocolic intussusception caused by a cecal endometrioid mass extending to the left colon, a rare presentation requiring manual reduction and right hemicolectomy.

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Abstract

Bowel involvement in endometriosis is uncommon and is most frequently located in the sigmoid colon and the rectum. We present a case in a 37-year-old woman of a cecal endometrioid mass complicated with an ileocolic intussusception which extended beyond the splenic colon flexure. Careful manual extraction allowed a reduction of the intussusceptum, followed by an oncological right hemicolectomy. The patient suffered postoperative ileus, which was spontaneously solved. Intussusception is infrequent in the adult population and usually involves the small bowel. The great majority of ileocolic intussusceptions have a malignant origin (cecal adenocarcinoma). An endometriotic mass located at the cecum as the lead point for ileocolic intussusception is an extremely rare presentation. On reviewing the literature, we found only 13 reports with no other cases extending beyond the splenic flexure, as occurred in our patient.

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Condition tags

endometriosis

MeSH descriptors

Cecal Diseases Colonic Diseases Endometriosis Ileal Diseases Ileocecal Valve Ileocecal Valve Intussusception Adult Adult Cecal Diseases Cecal Diseases Cecal Diseases Cecal Diseases Colectomy Colectomy Colectomy Colonic Diseases Colonic Diseases Colonic Diseases Colonic Diseases

Citation neighborhood (2-hop)

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

References (7)

Cited by (12)

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License: CC0 · commercial use OK