A case of retrograde intussusception due to transverse colon cancer detected by abdominal ultrasonography
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 spl...
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| Veröffentlicht in: | Nippon Shokakibyo Gakkai Zasshi 2023/10/10, Vol.120(10), pp.845-851 |
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| container_title | Nippon Shokakibyo Gakkai Zasshi |
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| creator | FUKUDA, Kaho OKANOBU, Hideharu OKAMOTO, Takuya SAKAMOTO, Aiko TANAKA, Yusuke BODA, Kazuki KOHNO, Tomohiko TAKAKI, Shintaro YAMAGUCHI, Shohei FURUKAWA, Yoshinari |
| description | 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. |
| doi_str_mv | 10.11405/nisshoshi.120.845 |
| format | Article |
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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. 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| title | A case of retrograde intussusception due to transverse colon cancer detected by abdominal ultrasonography |
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