CASE 805: BOWEL INTUSSUSCEPTION in Elderly Patient due to POLYP, Dr PHAN THANH HẢI, Dr TRẦN THÙY TRANG, MEDIC MEDICAL CENTER, HCMC, VIETNAM.

 A 63 year-old woman with some painful cramp crisis for one month which was  increasing more and more in one week before going to Medic Center.

Her past history noted right colonoectomy as infarcted colitis, managed thyroid cancer and uterosalpingoectomy.

Ultrasound detected the  #64x35 milimeter mass of the bowel intussusception at RLQ with vasculature of the mass that synchronously existed the GB stones and the #27 mm right adrenal tumor.

MSCT confirmed the bowel intussusception, right adrenal tumor and GB stones.

Surgery removed the bowel part with the polyp inside.

Microscopic result of the polyp was a mixed hemangioma.

Intussusception in elderly patient is usually due to a tumor and in our case that was a single polyp originated a mixed hemagioma.

REFERENCE:

CASE 804: SYNCHRONOUS GASTRIC and COLON CANCER, Dr PHAN THANH HAI, Dr PHAM CHI TOAN, MEDIC MEDICAL CENTER, HCMC, VIETNAM.

 A 50 year-old man with loss of weight, altered bowel habit, fatigue and abdominal pain.

Ultrasound detected gastric cancer and gastroendoscopy and MSCT confirmed later.

Gastric endoscopy and biopsy result.

MSCT

But there was a tumor of transverse colon which was proved by colonoscopy and histoanatopathological result.

Synchronous gastric and colon cancer is still rare, # 2.5% in male patient within 6 months.