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首页> 外文期刊>Journal of Clinical and Diagnostic Research >Leiomyosarcoma: A Rare Cause of Colocolic Intussusception
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Leiomyosarcoma: A Rare Cause of Colocolic Intussusception

机译：Leiomyosarcoma：一种难得的Colococic肠肠溶的原因

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Intussusception is an infrequent presentation in adult patients and accounts for less than 1% of all cases of adult bowel obstruction. Colon is most commonly involved site and in 56% cases, the underlying cause is a malignant neoplasm. Leiomyosarcoma of colon is an extremely rare tumour. A 30-year-old male patient presented to the Surgery Department with chief complaints of dull, diffuse and colicky abdominal pain associated with abdominal distension and vomiting for 15 days. On abdominal examination, abdomen was distended with generalised tenderness and rigidity. X-ray abdomen showed features suggestive of bowel obstruction. Contrast Enhanced Computed Tomography (CECT) revealed bowel within bowel appearance of a segment of descending colon suggestive of colocolic intussusception. Exploratory laparotomy revealed colocolic intussusception with a large obstructing growth in the descending colon acting as a lead point. Left hemicolectomy with colocolic anastomosis was done. Final histopathological report confirmed epithelioid leiomyosarcoma. Adjuvant chemotherapy was administered and the patient is disease free at one year of follow-up. Present case report was a rare case of colonic leiomyosarcoma presenting with intussusception. The rarity of this disease and the rare presentation makes this an interesting case. Surgical management remains the mainstay of treatment of these cases.
机译：肠套体是成年患者的一种不常见的介绍，并且占所有成人肠梗阻患者的1％不到1％。结肠是最常见的网站，在56％的病例中，潜在的原因是恶性肿瘤。结肠的平滑肌肉瘤是一种极其罕见的肿瘤。一名30岁的男性患者展示了手术部门，具有与腹胀和呕吐相关的沉闷，弥漫性和肠胃疼痛15天。在腹部检查中，腹部扩张令人难度和刚性。 X射线腹部显示出暗示肠梗阻的特点。对比增强的计算断层摄影（CECT）揭示了肠外壳内的肠道出现的肠道外观暗示性肠肠溶肠溶色。探索性剖腹手术揭示了Colocolic肠肠溶，其下降结肠的障碍增长是引起的。用甲醇染色剂致吻合术后留下了精神聚糖。最终组织病理学报告证实上皮脲肌肉瘤。施用佐剂化疗，患者在一年的随访中无病。目前案例报告是一种罕见的肠道平滑肌肉瘤患有肠套叠。这种疾病的稀有性和罕见的呈现使得这是一个有趣的案例。手术管理仍然是对这些病例的治疗方法。

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