Capillary hemangioma of the colon as a rare cause of intussusception in adults

Deutsche medizinische Wochenschrift
M GessleinB Kusch

Abstract

A 39-year-old patient presented with a history of constipation, abdominal pain and nausea. Magnetic resonance imaging showed a colonic tumour. Biopsy of the tumour did not reveal the diagnosis. The abdomen was tense on palpation and inflammation parameters were elevated. On abdominal x-ray signs of obstructive colonic ileus could be seen. Endoscopic investigation revealed a tumorous stricture of the transverse colon presenting as intussusception with cockade phenomenon during sonography. Because of obstructive ileus laparotomy was performed with extended right hemicolectomy and end-to-end ileotransversostomy. Histology showed the rare finding of colonic intussusception due to a capillary hemangioma. Post-operative clinical course was normal without any further signs or symptoms of systemic disease. Intussusception in adult patients can be a rare complication due to gastrointestinal hemangioma. Endoscopy and radiologic imaging may help to establish diagnosis. Surgical resection of the involved bowel segment seems to be a safe and effective treatment. Nevertheless congenital disease must be excluded to prevent further complications.

Citations

May 1, 2006·Clinics in Colon and Rectal Surgery·Marcus C B Tan, Matthew G Mutch
Apr 1, 2010·Clinical Journal of Gastroenterology·Keiko UtsumiKunio Kasugai
Oct 31, 2006·World Journal of Gastroenterology : WJG·Athanasios MarinisVassilios Smyrniotis

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