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A Case Report of Chronic Intussusception of Ileo-cecal Region, induced by Malignant Lymphoma S. Miyake 1 , Y. Kiryu 1 , O. Suzuki 1 , S. Yasuraoka 1 , M. Arai 1 , Y. Sato 1 1Department of Internal Medicine, Nippon Kokan Hospital pp.1659-1663
Published Date 1975/12/25
DOI https://doi.org/10.11477/mf.1403112144
  • Abstract
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 A 44-year-old woman was admitted to our hospital with chief complaints of abdominal fullness and right lower abdominal pain. She had been troubled with abdominal pain of the right lower quadrant during one month before the admission, and appendectomy had been performed at a hospital. However, there was no remission.

 On admission, a mobile, fist-sized tumor was palpated in the right lower abdominal quadrant. X-ray examination by barium enema of the colon revealed a large filling defect projecting into the barium-filled colon. Ileocecotomy was performed under a diagnosis of intussusception of the transverse colon. Surgical material showed that the tumor was 8.0×5.0×2.5 cm in size and localized on the Bauhin's valve, involving the terminal ileum as well as the cecum partially. No metastasis in mesenteric lymph nodes was seen. Histological diagnosis was reticulum cell sarcoma, arisen from the terminal ileum. The number of reported cases of Japanese adult intussusception in the recent 9 years (1964~1972) were 86. Among them secondary intussusception was seen in 74 cases (86%) and the ileocecal portion was the site most commonly involved (47 cases) and in 18 cases of them, malignant lymphoma was revealed as the cause of it.


Copyright © 1975, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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