J Korean Soc Coloproctol.
2009 Apr;25(2):121-124.
Adult Sigmoido-recto-anal Intussusception by a Sigmoid Colon Adenoma
- Affiliations
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- 1Department of Surgery, Dongguk University International Hospital, Dongguk University School of Medicine, Goyang, Korea. parkyj@duih.org
Abstract
- Although rectal procidentia is not an uncommon disease, presentation of more proximal segments of the large bowel through the anus is extremely rare. A case with sigmoido-recto-anal prolapse secondary to a large adenoma of the sigmoid colon is reported herein. A 28-yr-old man with an anal prolapsing mass was admitted to our hospital. Preoperative CT scan showed a sigmoid-recto-anal prolapse. An emergency operation was decided upon because the prolapsed segment was irreducible and because its viability was questionable. After a manual reduction of the mass, an anterior resection was performed under general anesthesia. The pathologic diagnosis of the resected specimen was a large villo-tubular adenoma.
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