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Published on: October 29, 2014
Cecorectal intussusception induced by a cecal hamartoma
Yen-Lin Chen1, Chih-Yung Yu, Chang-Hsien Liu
1Department of Radiology, Tri-Service General Hospital, Taipei, Taiwan, Republic of China.
Cecorectal intussusception, a rare condition where the cecum enters the colon, was identified in a 13-year-old boy. A hamartoma was found as the lead point causing this rare intussusception.
Area of Science:
- Gastroenterology
- Pediatric Surgery
- Radiology
Background:
- Cecorectal intussusception is a rare form of intussusception where the cecum prolapses into the colon and rectum.
- It is often associated with a pathologic lead point, necessitating prompt diagnosis and intervention.
Observation:
- A 13-year-old boy presented with a month of abdominal discomfort and constipation.
- Multi-detector row computed tomography (MDCT) revealed cecorectal intussusception with a cecal fat-containing tumor identified as the lead point.
Findings:
- Surgical reduction and resection of the cecal tumor were performed.
- Pathological diagnosis confirmed the lead point as a hamartoma of the cecum.
Implications:
- This case highlights the importance of advanced imaging like MDCT in diagnosing rare pediatric intussusception.
- Understanding the role of lead points, such as hamartomas, is crucial for effective management of cecorectal intussusception.
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