Diseases of the Colon & Rectum

, Volume 40, Issue 2, pp 244–246 | Cite as

Perforated villous adenoma of the cecum

Report of a case
  • Robin D. Rothstein
  • Joseph Shrager
  • John L. Rombeau
Case Reports


Villous adenomas are common neoplasms of the colon, often causing anemia or hemoccult positive stools. Less typically, these lesions may result in abdominal pain, melena, obstruction, or change in bowel habits. Intussusception may occur, but this complication is unusual in adults. Spontaneous bowel perforation attributable to colonic polyps has not been previously reported. We present here the first reported case of an adenomatous polyp with bowel perforation and bladder involvement.

Key words

Cecum Perforation Villous adenoma Polyps 


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Copyright information

© American Society of Colon and Rectal Surgeons 1997

Authors and Affiliations

  • Robin D. Rothstein
    • 1
  • Joseph Shrager
    • 2
  • John L. Rombeau
    • 2
  1. 1.Department of MedicineHospital of the University of PennsylvaniaPhiladelphia
  2. 2.Department of SurgeryHospital of the University of PennsylvaniaPhiladelphia

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