A Rare Case of Cecal Adenocarcinoma Presenting as Intussusception

• Published in: Curēus (Palo Alto, CA) Vol. 15; no. 11; p. e48899
• Main Authors: Javed, Nismat, Dente, Margaret, Ghazanfar, Haider, Jyala, Abhilasha, Ihimoyan, Ariyo
• Format: Journal Article
• Language: English
• Published: United States Cureus Inc 16-11-2023
• Subjects: Abdomen; Accuracy; Adults; Antigens; Blood; Cancer; Case reports; Colonoscopy; Colorectal cancer; Emergency medical care; Gastroenterology; Internal medicine; Intestinal obstruction; Medical imaging; Medical prognosis; Medicine; Metastasis; Mortality; Neuroendocrine tumors; Pain; Pathology; Patients; Risk factors; Surgery; Surgical outcomes; Ultrasonic imaging; X-rays; United States > US; cecal adenocarcinoma; colorectal cancer; intussusception; management; prognosis
• ISSN: 2168-8184; 2168-8184
• DOI: 10.7759/cureus.48899

Colorectal cancer is widely recognized as one of the most common types of cancer worldwide. The management and outlook for colorectal cancer depend on its specific characteristics and how it presents clinically. Despite the identification of various risk factors and causes, cecal carcinoma, a type of colorectal cancer, is infrequent in Western populations under 50 years of age, and little research has been conducted on its epidemiology. Additionally, intussusception, a medical condition where one part of the intestine slides into another, is relatively rare among younger individuals. In this case report, we present a 36-year-old male who presented with abdominal pain. A physical exam revealed mild right-sided and peri-umbilical tenderness. A computed tomography scan of the abdomen and pelvis with contrast revealed long segment intussusception involving the terminal ileum and cecum. The patient underwent a reduction of intussusception and hemicolectomy. He was diagnosed with invasive cecal adenocarcinoma with metastasis to lymph nodes. He was started on chemotherapy and has been following as an oncology outpatient.