Intestinal intussusception, colorectal cancer and intestinal endometriosis as a combined cause of intestinal obstruction: a case study
A. B. Shalygin,
A. Yu. Emelyanov,
S. L. Ginoyan,
T. N. Sotnikova,
A. A. Gvozdev,
T. V. Polushkina,
K. N. Zhuravlev https://doi.org/10.5922/2223-2427-2024-9-2-7
Abstract
The paper describes a unique clinical case involving a patient with two tumours of mesenchymal and epithelial origin, along with ectopic endometriosis located within the cecum. This combination of pathologies resulted in colonic intussusception and subsequent colon-small intestine obstruction due to a cecal lipoma, compounded by colorectal cancer in the same area with local endometriosis foci. The surgical intervention involved laparoscopic resection of the terminal ileum, cecum, ascending, transverse, and descending colon, along with D2 lymphadenectomy and laparoscopically assisted ileosigmoid anastomosis. The patient was discharged in satisfactory condition on the 7th day post-surgery. This clinical observation garnered significant attention due to its atypical presentation of a rare complication, initially leading to a misdiagnosis and necessitating extensive intestinal resection for cancer under urgent circumstances with adequate lymph node dissection. Furthermore, the favourable treatment outcome despite the long-term presence of intussusception for at least one month underscores the noteworthy aspect of this case.
About the Authors
A. B. Shalygin
Sechenov First Moscow State Medical University (Sechenov University); Davydovsky City Clinical Hospital
Russian Federation
Russian Federation
Anton B. Shalygin, Deputy Head; Associate Professor of the Department of General Surgery
19/1 Bolshaya Pirogovskaya St., Moscow, 119146
11 Yauzskaya St., Moscow, 109240
A. Yu. Emelyanov
Sechenov First Moscow State Medical University (Sechenov University); Davydovsky City Clinical Hospital
Russian Federation
Russian Federation
Andrey Yu. Emelyanov, Associate Professor, Department of General Surgery; Head of the Department of Surgery
19/1 Bolshaya Pirogovskaya St., Moscow, 119146
11 Yauzskaya St., Moscow, 109240
S. L. Ginoyan
Davydovsky City Clinical Hospital
Russian Federation
Russian Federation
Serob L. Ginoyan, Surgeon
11 Yauzskaya St., Moscow, 109240
T. N. Sotnikova
Davydovsky City Clinical Hospital
Russian Federation
Russian Federation
Tatyana N. Sotnikova, Head of the Department of Pathology
11 Yauzskaya St., Moscow, 109240
A. A. Gvozdev
Davydovsky City Clinical Hospital
Russian Federation
Russian Federation
Alexey A. Gvozdev, Head of the Department of Endoscopy
11 Yauzskaya St., Moscow, 109240
T. V. Polushkina
Davydovsky City Clinical Hospital
Russian Federation
Russian Federation
Tatyana V. Polushkina, Doctor,
11 Yauzskaya St., Moscow, 109240
K. N. Zhuravlev
Davydovsky City Clinical Hospital
Russian Federation
Russian Federation
Zhuravlev Kirill Nikolaevich, Radiologist, Head of Department of Radiology
11 Yauzskaya St., Moscow, 109240
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Review
For citations:
Shalygin A.B., Emelyanov A.Yu., Ginoyan S.L., Sotnikova T.N., Gvozdev A.A., Polushkina T.V., Zhuravlev K.N. Intestinal intussusception, colorectal cancer and intestinal endometriosis as a combined cause of intestinal obstruction: a case study. Surgical practice (Russia). 2024;(2):97-110. (In Russ.) https://doi.org/10.5922/2223-2427-2024-9-2-7
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