Open AccessIleal schwannoma developing into ileocolic intussusception
Author(s) -
Hirokazu Shoji,
Hiromitsu Kanzaki,
Kohei Fujita,
Seiyuu Suzuki,
Kazuya Kobayashi,
Hiromitsu Suzuki,
Hideyuki Saya
Publication year - 2008
Publication title -
world journal of gastroenterology
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 1.427
H-Index - 155
eISSN - 2219-2840
pISSN - 1007-9327
DOI - 10.3748/wjg.14.638
Subject(s) - medicine , schwannoma , intussusception (medical disorder) , colonoscopy , ascending colon , stromal tumor , barium enema , ileum , abdominal pain , differential diagnosis , radiology , invagination , abdominal ultrasonography , transverse colon , surgery , ultrasonography , stromal cell , pathology , colorectal cancer , cancer
Intussusception is rare in adults. We describe a 47-year-old man with ileal schwannoma that led to ileocolic intussusception. Abdominal ultrasonography, abdominal CT scan and barium enema confirmed an ileal tumor. Colonoscopy revealed a peduncular submucosal tumor (SMT) 75 mm long with an ulcerated apex at the ascending colon. The provisional diagnosis was a gastrointestinal stromal tumor of the terminal ileum. Ileocecal resection was carried out and the tumor was histologically diagnosed as schwannoma. Abdominal pain resolved postoperatively. This case reminds us that ileal schwannoma should be included in the differential diagnosis of intussusception caused by an SMT in the intestine.