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
  • 11 Downloads

Abstract

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 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Ippolito RJ, Touloukian RJ. Colocolic intussusception in an older child: caused by a polyp of the distal colon. Clin Pediatr 1978;17:720–1.Google Scholar
  2. 2.
    Arthur AL, Garvey R, Vaness DG. Colocolic intussusception in a three-year-old child caused by a colonic polyp. Conn Med 1990;54:492–4.PubMedGoogle Scholar
  3. 3.
    Muto T, Bussey HJ, Morson BC. The evolution of cancer of the colon and rectum. Cancer 1975;36:2251–70.PubMedGoogle Scholar
  4. 4.
    Muto T, Ishikawa K, Kino I,et al. Comparative histologic study of adenomas of the large intestine in Japan and England, with special reference to malignant potential. Dis Colon Rectum 1977;20:11–6.PubMedGoogle Scholar
  5. 5.
    Waye JD, Bashkoff E. Total colonoscopy: is it always possible? Gastrointest Endosc 1991;37:152–4.PubMedGoogle Scholar
  6. 6.
    Kyllonen LE. Obstruction and perforation complicating colorectal carcinoma. Acta Chir Scand 1987;153:606–14.Google Scholar
  7. 7.
    Matsumura K, Tanaka S, Ito T,et al. Colon cancer with macroscopic invasion into surrounding organs. Jpn J Cancer Clin 1987;33:49–53.Google Scholar
  8. 8.
    Silver SA, Epstein JI. Adenocarcinoma of the colon simulating primary urinary bladder neoplasia: a report of nine cases. Am J Surg Pathol 1993;17:171–8.PubMedGoogle Scholar
  9. 9.
    Lee Ph, Khauli RB, Baker S, Menon M. Prognostic and therapeutic observations of manifestations in the genitourinary tract of adenocarcinoma of the colon and rectum. Surg Gynecol Obstet 1989;169:511–8.PubMedGoogle Scholar
  10. 10.
    Talamonti MS, Shumate CR, Carlson GW, Curley SA. Locally advanced carcinoma of the colon and rectum involving the urinary bladder. Surg Gynecol Obstet 1993;177:481–7.PubMedGoogle Scholar
  11. 11.
    Kim SH, Na DG, Choi BI, Han JK, Han MC. Direct invasion of urinary bladder from sigmoid colon cancer. J Comput Assist Tomogr 1992;16:709–12.PubMedGoogle Scholar
  12. 12.
    Lo AY, Beaton HL. Selective management of colono-scopic perforations. J Am Coll Surg 1994;179:333–7.PubMedGoogle Scholar
  13. 13.
    Perez CA, Breaux S, Bedwinek JM,et al. Radiation therapy alone in the treatment of carcinoma of the uterine cervix. II. Analysis of complications. Cancer 1984;52:235–46.Google Scholar
  14. 14.
    Dean RJ, Lytton B. Urologic complications of pelvic irradiation. J Urol 1978;119:64–7.PubMedGoogle Scholar
  15. 15.
    Levenback C, Gershenson DM, McGehee R, Eifel PJ, Morris M, Burke TW. Enterovesical fistula following radiotherapy for gynecologic cancer. Gynecol Oncol 1994;52:296–300.PubMedGoogle Scholar
  16. 16.
    Palmer JA, Bush RS. Radiation injuries to the bowel associated with the treatment of carcinoma of the cervix. Surgery 1976;80:458–64.PubMedGoogle Scholar
  17. 17.
    Maier U, Hofbauer J. Urologic complications following curative radiotherapy of gynecologic cancers. Urol Ausg A 1986;25:33–7.Google Scholar

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

Personalised recommendations