Sigmoid carcinoma with sigmoid-rectal intussusception presenting as rectal prolapse and large bowel obstruction in the ED

Abstract Background Intestinal obstruction is a surgical emergency with most cases being small bowel obstruction. Large bowel obstruction is comparatively uncommon and colonic malignancies are a usual cause. Such lesions cause intestinal obstruction by luminal narrowing or rarely serve as lead point of intussusception. Case presentation Herein, we describe an unusual case of sigmoid carcinoma causing sigmoid-rectal intussusception, rectal prolapse, and eventually large bowel obstruction. Conclusion Pre-operative CT should be done in all adult large bowel obstruction to look for possible site and cause of obstruction and to rule out malignancy as a cause of obstruction. Conversely, every case of rectal prolapse should be diligently evaluated to rule out intussusception, which if present in an adult indicates a high likelihood of underlying malignancy.

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Study of clinical spectrum and management of acute intestinal obstruction

International Surgery Journal ◽

10.18203/2349-2902.isj20181060 ◽

2018 ◽

Vol 5 (4) ◽

pp. 1310

Author(s):

N. K. Jaiswal ◽

Sandeep Shekhar ◽

Pushkar Ranade

Keyword(s):

Abdominal Pain ◽

Small Bowel ◽

Intestinal Obstruction ◽

Bowel Obstruction ◽

Large Bowel ◽

Signs And Symptoms ◽

Large Bowel Obstruction ◽

Acute Intestinal Obstruction ◽

Medical College ◽

Tertiary Centre

Background: Acute intestinal obstruction is one of the major surgical emergencies. Intestinal obstruction is defined as partial or complete interference with forward flow of small or large intestinal contents. Intestinal obstruction of either small or large bowel continues to be a major cause of morbidity and mortality. Study aims to find the aetiology, diagnosis and management of acute intestinal obstruction.Methods: A total of 135 patients of acute intestinal obstruction was studied from November 2013 to October 2015 in government medical college, Nagpur. Study was done in patients in OPD of this tertiary centre. Inclusion criteria being patients coming to the hospital with features suggestive and further confirmed of acute intestinal obstruction. Patients included were in, age group of 18 years to 80 years giving written informed consent. Patient of pseudo obstruction were excluded from the study.Results: A total of 135 patients, presented with acute intestinal obstruction during the period of the study. Mean patient age was 45.87 years with peak incidence in those aged 21-30years. The foremost signs and symptoms were constipation (85.93%) and abdominal pain (91.11%). Adhesions and bands (61.9%) was the leading causes of intestinal obstruction.Conclusions: Present study concluded that small bowel obstruction is more common than large bowel obstruction. Abdominal pain, constipation and distension are the most common symptoms, while increased bowel sounds, tachycardia and tenderness is most common sign. Post-operative adhesion in small bowel and malignancy in large bowel is major cause of acute intestinal obstruction.

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Rectosigmoid Endometriosis Causing an Acute Large Bowel Obstruction: A Report of a Case and a Review of the Literature

Journal of Nepal Medical Association ◽

10.31729/jnma.249 ◽

2011 ◽

Vol 51 (182) ◽

Cited By ~ 1

Author(s):

R K Gupta ◽

C S Agrawal ◽

R P Yadav ◽

D Uprety ◽

P L Sah

Keyword(s):

Intestinal Obstruction ◽

Bowel Obstruction ◽

Emergency Surgery ◽

Large Bowel ◽

Large Bowel Obstruction ◽

Acute Obstruction ◽

Review Of The Literature ◽

Colorectal Malignancy ◽

Surgical Practice ◽

Intestinal Involvement

Endometriosis is often seen in gynecology practice and is treated medically. However, intestinal involvement of endometriosis causing acute large bowel obstruction is uncommon and is dif cult to differentiate from malignancy before surgery, owing to its similar colonoscopic and radiologic ndings. We report a successfully-treated case of a 30-year-old woman in which endometrial in ltration of the large bowel caused acute obstruction, requiring emergency surgery to relieve the symptom and conrm the diagnosis. We present this unusual disease in general surgical practice and also review the literature. Keywords: colorectal malignancy, endometriosis, intestinal obstruction

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