[Intussusception Caused by Colon Cancer in Pregnancy]

Korean J Gastroenterol. 2019 Jun 25;73(6):355-359. doi: 10.4166/kjg.2019.73.6.355.
[Article in Korean]

Abstract

Intussusception is a common in pediatric age group. But it is rare in adults. And intussusception caused by tumor account for 1% of bowel obstructions in adult. Intussusception is an extremely rare cause of abdominal pain in pregnancy. In particular, cases of Intussusception due to colorectal cancer during pregnancy have never been reported in Korea. Our patient is a 34 years old woman who presented at 14 weeks of her second pregnancy. She presented with right lower abdominal discomfort and intermittent palpable mass which was usually spontaneously resolved. In the MRI study, pathologic asymmetric wall thickening was still noted and ileocolic intussusception was noted, and in colonoscopy, there was ulcerofungating mass around ileocecal valve which may be a leading point of intussusception. Biopsy was done. Pathologic finding was poorly differentiated adenocarcinoma. Under the patient agreement, we performed dilatation and curettage and laparoscopic right hemicolectomy and lymph node dissection. Now she is receiving a FOLFOX chemotherapy.

Keywords: Colonic neoplasms; Intussusception; Pregnancy.

Publication types

  • Case Reports

MeSH terms

  • Adenocarcinoma / complications
  • Adenocarcinoma / diagnosis*
  • Adenocarcinoma / drug therapy
  • Adult
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use
  • Colonic Neoplasms / complications
  • Colonic Neoplasms / diagnosis*
  • Colonic Neoplasms / drug therapy
  • Colonoscopy
  • Female
  • Fluorouracil / therapeutic use
  • Humans
  • Intussusception / complications
  • Intussusception / diagnosis*
  • Intussusception / surgery
  • Laparoscopy
  • Leucovorin / therapeutic use
  • Lymph Nodes / surgery
  • Magnetic Resonance Imaging
  • Organoplatinum Compounds / therapeutic use
  • Pregnancy
  • Ultrasonography

Substances

  • Organoplatinum Compounds
  • Leucovorin
  • Fluorouracil

Supplementary concepts

  • Folfox protocol