Cecorectal intussusception induced by a cecal hamartoma

Abdom Imaging. 2011 Feb;36(1):46-9. doi: 10.1007/s00261-009-9598-4.

Abstract

Cecorectal intussusception, a variant form of intussusception, occurs when the cecum enters through the entire course of colon and reaches to the rectum. This condition is rare but often associated with a pathologic lead point. Here, we report a 13-year-old boy, featuring insidious abdominal discomfort and constipation for 1 month, who developed cecorectal intussusception. Before surgical intervention, multi-detector row computed tomography with reconstructed images demonstrated the route of cecorectal intussusception and identified a cecal fat-containing tumor as the lead point. The patient received surgical reduction with resection of the cecal tumor. Final pathological diagnosis was a hamartoma of the cecum. The relevant literature pertaining to this condition is reviewed, and the possible pathophysiology of the condition discussed.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Cecal Diseases / complications*
  • Cecal Diseases / diagnostic imaging
  • Cecal Diseases / surgery
  • Cecum / diagnostic imaging
  • Cecum / surgery
  • Follow-Up Studies
  • Hamartoma / complications*
  • Hamartoma / diagnostic imaging
  • Hamartoma / surgery
  • Humans
  • Intussusception / diagnostic imaging
  • Intussusception / etiology*
  • Intussusception / surgery
  • Male
  • Rectal Diseases / diagnostic imaging
  • Rectal Diseases / etiology*
  • Tomography, X-Ray Computed
  • Treatment Outcome