Sažetak
Intususcepcija je kod odraslih prisutna sa nespecifičnim simptomima, te može biti veoma izazovna kada je reč o postavljanju dijagnoze. Opisan je slučaj izrazito bolnog analnog prolapsa mekotkivne mase sa hematomom i znacima ishemije. Urađena je operacija i pritom je pronađena velika sigmoidna intususcepcija sa ulceroznim tumorom na 7 cm od anokutane linije. Prolbirana intususcepcija kroz anus najčešće je rektalnog porekla, mada uvek treba uzeti u obzir mogućnost prolapsa i sigmoidnog kolona. Intususcepcija debelog creva je kod odraslih često povezana sa malignitetom debelog creva, pa zahteva laparotomiju za dijagnozu i terapiju.
Ključne reči
Reference
Beleato-González S, Vilanova JC, García-Figueiras R, Juez IB, de Alegria AM. Intussusception in adults; what radiologists should know. Emerg Radiol 2012;19:89–101. [CrossRef][PubMed]
Bounova A, Polychronidis A, Laftsidis P, Simopoulos C. Sigmoid colon cancer presenting as complete rectal prolapse. Colorectal Dis 2007;9:665–6. [CrossRef][PubMed]
Du JZ, Teo LT, Chiu MT. Adult rectosigmoid junction intussusception presenting with rectal prolapse. Singapore Med J 2015;56(5):e78-e81. [CrossRef][PubMed]
Elliott M, Martin J, Mullan F. Prolapsed giant sigmoid lipoma: a rare cause of adult ischaemic intussusception. BMJ Case Rep 2014;2014:bcr2014204036. [CrossRef][PubMed]
Gupta RK, Agrawal CS, Yadav R, Bajracharya A, Sah PL. Intussusceptions in adults. Health Renaissance 2010;8:158–65. [CrossRef]
Mahmood A, Ruan ZQ, O’Hara R, Canna K. Adult intussusception presenting as rectal prolapse. BMJ Case Rep 2014;2014:bcr2013203281. [CrossRef][PubMed]
Teyha SP, Alphonce Chandika A, Kotecha RV. Prolapsed sigmoid intussusception per anus in an elderly man: a case report. Journal of Medical Case Reports 2011;5:389. [CrossRef][PubMed]
Wang LT, Wu CC, Yu Jc, Hsiao CW, Hsu CC, Jao SW. Clinical entity and treatment strategies for adult intussusceptions: 20 years’ experience. Dis Colon Rectum 2007;50:1941–9. [CrossRef][PubMed]
Wang N, Cui XY, Liu Y, Long J, Xu JH, Guo RX, et al. Adult intussusception: a retrospective review of 41 cases. World J Gastroenterol 2009;15:3303-8. [CrossRef][PubMed]
Yamazaki T, Sakai Y, Sekine Y, Nihei K, Hatakeyama K. Sigmoid colon cancer presenting as complete rectal prolapse: report of a case. Surg Today 1999;29:266–7. [CrossRef][PubMed]