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Dtsch Med Wochenschr. 2004 Sep 17;129(38):1970-2.

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

[Article in German]

Author information

  • 1Chirurgische Klinik Waldkrankenhaus St. Marien, Erlangen. mgesslein@aol.com

Abstract

HISTORY AND ADMISSION FINDINGS:

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.

INVESTIGATION:

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.

TREATMENT AND CLINICAL COURSE:

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.

CONCLUSION:

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.

PMID:
15375738
[PubMed - indexed for MEDLINE]
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