• World J Gastroentero · Jan 2008

    Case Reports

    Ileal schwannoma developing into ileocolic intussusception.

    • Shoji Hirasaki, Hiromitsu Kanzaki, Kohei Fujita, Seiyuu Suzuki, Kazuyasu Kobayashi, Hiromitsu Suzuki, and Hideyuki Saeki.
    • Second Department of Internal Medicine, Sumitomo Besshi Hospital, 3-1 Ohji-cho, Niihama 792-8543, Japan. shoji_hirasaki@ni.sbh.gr.jp
    • World J Gastroentero. 2008 Jan 28; 14 (4): 638-40.

    AbstractIntussusception 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.

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