Korean J Gastroenterol.  2019 Jun;73(6):355-359. 10.4166/kjg.2019.73.6.355.

Intussusception Caused by Colon Cancer in Pregnancy

• Kim K
• Ko M
• Sim HC
• Kim CL
• Jung YJ
• Kim TO

• KMID: 2454097
• DOI: http://doi.org/10.4166/kjg.2019.73.6.355

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.

Keyword

Pregnancy; Intussusception; Colonic neoplasms

MeSH Terms

Abdominal Pain
Adenocarcinoma
Adult
Biopsy
Colon*
Colonic Neoplasms*
Colonoscopy
Colorectal Neoplasms
Dilatation and Curettage
Drug Therapy
Female
Humans
Ileocecal Valve
Intussusception*
Korea
Lymph Node Excision
Magnetic Resonance Imaging
Pregnancy*

Figure

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  Fig. 1 Intussusception in the cecum was noted in a local clinic sonography.

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  Fig. 2 Diffuse wall edema on the ascending colon, but no definite intussusception or mass like lesion were noted. Ileocecal valve (arrow).

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  Fig. 3 Pathologic asymmetric colon wall thickening (arrow) was observed but there was no definite intussusception in the first magnetic resonance imaging.

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  Fig. 4 Pathologic asymmetric colon wall thickening (arrow) with intussusception (aster) on magnetic resonance imaging.

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  Fig. 5 Ulcerofungating mass around the ileocecal valve in colonoscopy.

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  Fig. 6 (A) 5.5×4.0 cm sized ulcerofungating mass was noted. (B) Poorly differentiated adenocarcinoma was observed (H&E, ×100).

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