Liu Tianyu, director of colorectal surgery at Wurilin New Hospital, said that intussusception in adults is often difficult to detect in the early stage, until severe abdominal pain occurs, and 90% of them have lesions, such as colorectal cancer, appendix cancer or colorectal inflammation; the picture shows a situational photo .

(Provided by Wurilin New Hospital)

[Reporter Lin Minzhen/Taichung report] The 82-year-old grandma, surnamed Chen, suffered from repeated abdominal distension and abdominal pain for nearly 3 months, lost 5 or 6 kg in weight, and was accompanied by anemia. Intestinal tumor appeared, accompanied by partial obstruction, which was malignant after biopsy examination. Abdominal computed tomography also showed that the tumor was concentric with intussusception at the hepatic flexure. After emergency surgical resection, Grandma Chen recovered well. , has been discharged successfully.

Liu Tianyu, director of colorectal surgery at Wurilin New Hospital, said that after the consultation and surgical discussion, it was decided to allow the patient to undergo right hemicolectomy and anastomosis. During the operation, it was confirmed that the 3 cm large tumor was located exactly above the right lower ileocecal valve, intussusception to the upper right liver He was in critical condition at the curved part. He underwent right colon resection and lymph gland removal, and the process went smoothly. The pathology showed that he was a stage 1 colorectal cancer. The follow-up only needs to be followed up regularly.

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The doctor found through colonoscopy that there was an intestinal tumor at the hepatic flexure of the patient's right half of the large intestine, accompanied by partial obstruction, and the pathology was malignant after biopsy.

(Provided by Wurilin New Hospital)

Liu Tianyu pointed out that intussusception is one of the abdominal emergencies. Pediatric intussusception is common in children from 2 months to 2 years old, and there will be red stools that look like strawberry jam, accompanied by abdominal distension and abdominal pain, and up to 90% of the lesions cannot be found. , barium repositioning is the main treatment principle; adult intussusception is different, most of which are not easy to detect in the early stage, until severe abdominal pain occurs, and 90% have lesions, such as colorectal cancer, appendix cancer or colorectal inflammation, which can be removed by surgery For the root rule.

Liu Tianyu explained that adult intussusception is extremely related to its location. According to general statistics, only 1 to 2 intussusceptions in the small intestine will become malignant tumors. You can try to uninvaginate and then resection to preserve other intestinal segments. Intussusception, 5 to 6 become malignant, it is recommended not to remove the intussusception, direct radical excision is appropriate.

Liu Tianyu reminded that the current abdominal computed tomography examination can quickly provide correct information, allowing doctors to make correct preoperative interpretation and follow-up treatment. It is recommended that the public be vigilant, and if there are related symptoms, go to colorectal surgery as soon as possible for examination and treatment.

Abdominal computed tomography showed that the patient's colorectal tumor with intussusception was located in the hepatic flexure and was concentric.

(Provided by Wurilin New Hospital)

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keywords

  • stomach ache

  • intussusception

  • bloating

  • colorectal tumor

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