Intussusception of a large circumferential caecal adenoma with ileocaecal valve consumption
- Resource Type
- Authors
- Faris Kubba; Pepe Mullerat; Engelbert Mthunzi
- Source
- BMJ Case Rep
- Subject
- 0301 basic medicine
Adenoma
medicine.medical_specialty
Colorectal cancer
Physical examination
Cecal Neoplasms
030105 genetics & heredity
Lesion
03 medical and health sciences
0302 clinical medicine
Rare Disease
Intussusception (medical disorder)
Tubulovillous adenoma
medicine
Humans
Hemicolectomy
Aged, 80 and over
Ileocecal Valve
medicine.diagnostic_test
business.industry
General Medicine
medicine.disease
Tumor Burden
Adenocarcinoma
Female
Radiology
medicine.symptom
business
Intussusception
030217 neurology & neurosurgery
- Language
- English
We present a case of an unusually large, circumferential tubulovillous adenoma involving the terminal ileum and the caecum with ileocaecal valve consumption, presenting as intussusception in an otherwise healthy 90-year-old woman. The patient presented with several months of chronic symptoms of weight loss and diarrhoea. Clinical examination revealed a right-sided mass. Investigations revealed a large right-sided lesion suspicious of intussusception. The patient underwent a right-sided hemicolectomy where the intussusception was resected. Histology of the resected mass revealed a tubulovillous adenoma with focal invasive adenocarcinoma.