A case of sigmoid colon cancer prolapsed through the anus in a young woman

Intussusception in which colon cancer acts as a lead point has been previously reported in a number of cases, but prolapse of the tumor through the anus has rarely been reported, and most of those few previous reports have involved elderly individuals. Case presentation: The patient in this case was a 26-year-old Japanese woman who presented to our emergency department with severe pain after her intestinal tract prolapsed through the anus during defecation. The intussusception was released laparoscopically, and we were able to perform complete mesocolic excision in a manner similar to conventional laparoscopic sigmoidectomy for sigmoid colon cancer prolapse through the anus in a young woman. Since liver metastases were identified on computed tomography, the patient underwent partial hepatectomy twice. The patient has been followed-up for eight years since the initial surgery and remains alive without recurrence.

[1]  N. Tomita,et al.  Japanese Society for Cancer of the Colon and Rectum (JSCCR) guidelines 2020 for the Clinical Practice of Hereditary Colorectal Cancer , 2021, International Journal of Clinical Oncology.

[2]  Y. Nagakawa,et al.  Laparoscopic middle colic artery-preserved right hemicolectomy with true D3 lymph node dissection for right-sided colon cancer: modified complete mesocolic excision , 2021, Surgical Endoscopy.

[3]  Y. Nagakawa,et al.  Laparoscopic complete mesocolic excision with true central vascular ligation for right-sided colon cancer , 2020, Surgical Endoscopy.

[4]  大腸癌研究会.  Japanese Classification of Colorectal, Appendiceal, and Anal Carcinoma: the 3d English Edition [Secondary Publication] , 2019, Journal of the anus, rectum and colon.

[5]  N. Tomita,et al.  Japanese Society for Cancer of the Colon and Rectum (JSCCR) Guidelines 2016 for the Clinical Practice of Hereditary Colorectal Cancer (Translated Version) , 2018, Journal of the Anus Rectum and Colon.

[6]  Byung Chun Kim,et al.  Factors predicting malignancy in adult intussusception: An experience in university-affiliated hospitals. , 2018, Asian journal of surgery.

[7]  Benjamin Phillips,et al.  Colonic Adenocarcinoma Presenting as Sigmoidorectal Intussusception: A Consideration for Intussusception Reduction , 2016, The American surgeon.

[8]  M. Bhandare,et al.  Laparoscopic management of sigmoidorectal intussusception caused by sigmoid carcinoma , 2015, South Asian Journal of Cancer.

[9]  S. Matsumoto,et al.  Prolapse of Intussusception through the Anus as a Result of Sigmoid Colon Cancer , 2010, Case Reports in Gastroenterology.

[10]  L. Deitte,et al.  Laparoscopic Management of Sigmoidorectal Intussusception , 2010, JSLS : Journal of the Society of Laparoendoscopic Surgeons.

[11]  W. Cheah,et al.  Laparoscopic management of acute small bowel obstruction. , 2005, Asian journal of surgery.

[12]  P. Wei,et al.  Laparoscopic Treatment of Ileocecal Intussusception Caused by Primary Ileal Lymphoma , 2004, Surgical laparoscopy, endoscopy & percutaneous techniques.

[13]  K. Okinaga,et al.  Surgical Management of Adult Sigmoid Colon Intussusception Caused by a Malignant Tumor: Report of a Case , 2003, Surgery Today.

[14]  M. Agrez,et al.  Management of sigmoid colon intussusception presenting through the anus. , 1998, The Australian and New Zealand journal of surgery.