Asian Journal of Case Reports in Surgery

Sigmoidorectal Intussusception Associated with Duodenal GIST

Mounir Bouali

Department of Visceral Surgical Emergency (P35), Hassan 2 University of Casablanca, Ibn Rochd University Hospital, Morocco.

Abdelhak Ettaoussi

Department of Visceral Surgical Emergency (P35), Hassan 2 University of Casablanca, Ibn Rochd University Hospital, Morocco.

Kamal Benzidane *

Department of Visceral Surgical Emergency (P35), Hassan 2 University of Casablanca, Ibn Rochd University Hospital, Morocco.

Abdelilah El-Bakouri

Department of Visceral Surgical Emergency (P35), Hassan 2 University of Casablanca, Ibn Rochd University Hospital, Morocco.

Fatimazahra Bensardi

Department of Visceral Surgical Emergency (P35), Hassan 2 University of Casablanca, Ibn Rochd University Hospital, Morocco.

Khalid El-Hattabi

Department of Visceral Surgical Emergency (P35), Hassan 2 University of Casablanca, Ibn Rochd University Hospital, Morocco.

Abdelaziz Fadil

Department of Visceral Surgical Emergency (P35), Hassan 2 University of Casablanca, Ibn Rochd University Hospital, Morocco.

*Author to whom correspondence should be addressed.

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Abstract

Sigmoido-rectal intussusception is rare and the lead point can be in most of the time a malignant lesions like adenocarcinoma. An 86-year-old patient was admitted to the emergency room for rectal bleeding associated with mucous diarrhea. Computed tomography revealed sigmoid-rectal invagination associated with a jejunal stromal tumor. The patient underwent a colon-rectal resection carrying a colon-rectal invagination and a colostomy was performed.  Biopsies were taken of a mass in the 4th duodenum, an epiploic nodule, a mesenteric nodule, and a liver nodule.

Keywords: Sigmoido-rectal intussusception, colorectal cancer, sigmoid adenocarcinoma, duodenal GIST

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