Case Report
Copyright ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. May 26, 2020; 8(10): 2044-2049
Published online May 26, 2020. doi: 10.12998/wjcc.v8.i10.2044
Ileocecal intussusception caused by two different tumors - which is the culprit lesion? A case report
Wu-Feng Fan, Gang Ma, Gui-Chen Li, Jin Long, Yuan-Hong Xu, Ke-Jian Guo, Zhe Liu
Wu-Feng Fan, Gang Ma, Gui-Chen Li, Jin Long, Yuan-Hong Xu, Ke-Jian Guo, Zhe Liu, Department of Pancreatic-Biliary Surgery, First Hospital of China Medical University, Shenyang 110001, Liaoning Province, China
Author contributions: All authors contributed to the acquisition of data and writing and revision of the manuscript.
Supported by the National Natural Science Foundation of China, No. 81572360; and the Liaoning Provincial Department of Education Science Research Project, No. L2014299.
Informed consent statement: The patient involved in this study gave his written informed consent authorizing use and disclosure of his protected health information.
Conflict-of-interest statement: The authors declare no conflicts of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Liu Zhe, MD, Assistant Professor, Doctor, Surgeon, Department of Pancreatic-Biliary Surgery, First Hospital of China Medical University, No.155 Nanjing North Street, Heping District, Shenyang 110001, Liaoning Province, China. liuzhecmu@126.com
Received: January 21, 2020
Peer-review started: January 21, 2020
First decision: February 26, 2020
Revised: April 1, 2020
Accepted: April 15, 2020
Article in press: April 15, 2020
Published online: May 26, 2020
Core Tip

Core tip: Ileocecal intussusception caused by two different tumors is rare. We report a 72-year-old male with intussusception. A cauliflower-like mass was observed in the transverse colon by colonoscopy before surgery. It was considered to be intussusception caused by colon cancer. However, a substantial lipomatous mass was seen in the distal end of the intussusception by computed tomography before surgery. The patient underwent a right hemicolectomy and cholecystectomy in our hospital. The benign and malignant fatty masses were sent for microscopic/immunohistochemical examination and MDM2 fluorescence in situ hybridization diagnosis after surgery. The patient was eventually cured and discharged with an uneventful follow-up.