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SAS Journal of Surgery | Volume-6 | Issue-02
Adenocarcinoma of the Caecum in a Young Adult Presenting as Intussusception
S. Shilpa Jain, Kamalraj M, Ramalakshmi V, Kannan Ross
Published: Feb. 18, 2020 | 122 122
DOI: 10.36347/sasjs.2020.v06i02.009
Pages: 64-67
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Abstract
A 32yr old male presented with complaints of irregular abdominal pain since one month. On examination, the patient was found to have severe pallor. Abdomen was soft with diffuse tenderness. USG abdomen revealed ileocolic intussusception. CECT abdomen revealed ileocolic intussusception with multiple lymph nodes in the right iliac fossa. Patient was stabilized and taken up for laparotomy which revealed intussusception of distal ileum into caecum and ascending colon with a hard mass in the caecum with multiple lymph nodes in the mesentery. Right hemicolectomy was performed with end to side anastomosis of ileum to transverse colon. HPE of the patient showed mucinous adenocarcinoma of caecum extending into the serosa with no lympho-vascular or perineural invasion. Uneventful Post-op reported.