Intussusception secondary to signet ring cell adenocarcinoma in adolescent

Ryan Thibodeau, MPH; Abtin Jafroodifar, MD; Dmitriy Bakrukov, MD; Leen Alkukhun, MD; Kavya Mirchia, MD; Anand Majmudar, MD; Saurabh Gupta, MBBS; Ravikumar Hanumaiah, MD

Radiology Case Reports (May 2021)

Intussusception secondary to signet ring cell adenocarcinoma in adolescent

Ryan Thibodeau, MPH,
Abtin Jafroodifar, MD,
Dmitriy Bakrukov, MD,
Leen Alkukhun, MD,
Kavya Mirchia, MD,
Anand Majmudar, MD,
Saurabh Gupta, MBBS,
Ravikumar Hanumaiah, MD

Affiliations

Ryan Thibodeau, MPH: Corresponding author.; Department of Radiology, State University of New York (SUNY) Upstate Medical University, 750 East Adams Street, Syracuse, NY 13210, USA
Abtin Jafroodifar, MD: Department of Radiology, State University of New York (SUNY) Upstate Medical University, 750 East Adams Street, Syracuse, NY 13210, USA
Dmitriy Bakrukov, MD: Department of Radiology, State University of New York (SUNY) Upstate Medical University, 750 East Adams Street, Syracuse, NY 13210, USA
Leen Alkukhun, MD: Department of Radiology, State University of New York (SUNY) Upstate Medical University, 750 East Adams Street, Syracuse, NY 13210, USA
Kavya Mirchia, MD: Department of Radiology, State University of New York (SUNY) Upstate Medical University, 750 East Adams Street, Syracuse, NY 13210, USA
Anand Majmudar, MD: Department of Radiology, State University of New York (SUNY) Upstate Medical University, 750 East Adams Street, Syracuse, NY 13210, USA
Saurabh Gupta, MBBS: Department of Radiology, State University of New York (SUNY) Upstate Medical University, 750 East Adams Street, Syracuse, NY 13210, USA
Ravikumar Hanumaiah, MD: Department of Radiology, State University of New York (SUNY) Upstate Medical University, 750 East Adams Street, Syracuse, NY 13210, USA

Journal volume & issue: Vol. 16, no. 5
pp. 1198 – 1203

Abstract

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Despite the overall decrease in incidence and mortality rates for older adults, colorectal cancer in young adults is increasing. We present a case of a 15-year-old male who presented with 1.5 weeks of intermittent, sharp, severe right-sided abdominal pain. Abdominal radiograph demonstrated an air-fluid level within the right hemiabdomen. Computed tomography demonstrated marked wall thickening and a mass at the junction of the ascending colon and hepatic flexure causing obliteration of the lumen with a fluid-filled, dilated ascending colon. Follow-up ultrasonography demonstrated a 5.9 × 3.9 cm targetoid lesion in the right upper quadrant concerning for intussusception. Contrast enema revealed failure of contrast filling beyond the hepatic flexure due to a lobulated central filling defect surrounded by a claw-like contrast extension. Pathology of the polypoid lesion revealed poorly differentiated signet ring cell adenocarcinoma of the colon at the hepatic flexure. Despite its rarity, this case elucidates the need to consider colorectal carcinoma in adolescent and young adult patients who present with recurrent abdominal signs and symptoms.

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

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