| 장중첩증으로 나타난 맹장암 및 동시성 S상결장암 1예 |
| 박재홍·이상호·김봉갑·김진만·장성원·최선희·윤중근 |
| 지방공사 부산의료원 내과 |
| A Case of Cecal Colon Cancer Causing Intussusception and Synchronous Sigmoid Colon Cancer |
| Jae Hong Park, M.D., Sang Ho Lee, M.D., Bong Gap Kim, M.D., Jin Man Kim, M.D., Sung Won Jang, M.D., Sun Hee Choi, M.D. and Jung Gun Youn, M.D. |
| Department of Internal Medicine, Busan Medical Center, Busan, Korea |
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| Abstract |
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The incidence of intussusception in adults is quite low. A preoperative diagnosis was quite difficult due to the atypical clinical features, but the success rate of preoperative diagnosis of intussusception has improved with the advances in abdominal US and CT. However, the value of colonoscopy in making a preoperative diagnosis is unclear. The incidence of multiple primary cancer of the colon and rectum can vary widely. We report a case of intussusception in a patient who had synchronous cecal and sigmoid colonic cancer. A 71-year-old man was visited our hospital for diarrhea and general weakness. The abdominal US and CT revealed a mass lesion in the cecal area. Preoperative colonoscopy confirmed the lesion to be cecal cancer with a synchronous sigmoid colon cancer. In conclusion, the rarity of these synchronous cancers may result in a misdiagnosis. Therefore, a preoperative colonoscopy or postoperative colonoscopy might be useful. (Korean J Gastrointest Endosc 2006;32:152155) |
| Key Words:
Intussusception, Synchronous tumor, Colon cancer |
| 주요어:
장중첩증, 동시성 종양, 선암종 |
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