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Ileal schwannoma developing into ileocolic intussusception
Authors:Hirasaki Shoji  Kanzaki Hiromitsu  Fujita Kohei  Suzuki Seiyuu  Kobayashi Kazuyasu  Suzuki Hiromitsu  Saeki Hideyuki
Affiliation:1. Second Department of Internal Medicine, Sumitomo Besshi Hospital, Niihama 792-8543, Japan
2. Department of Surgery, Sumitomo Besshi Hospital, Niihama 792-8543,Japan
Abstract:Intussusception is rare in adults. We describe a 47-year-old man with ileal schwannoma that led to ileocolic intussusception. Abdominal ultrasonography, abdominal CT scan and barium enema confirmed an ileal tumor. Colonoscopy revealed a peduncular submucosal tumor (SMT) 75 mm long with an ulcerated apex at the ascending colon. The provisional diagnosis was a gastrointestinal stromal tumor of the terminal ileum. Ileocecal resection was carried out and the tumor was historically diagnosed as schwannoma. Abdominal pain resolved postoperatively. This case reminds us that ileal schwannoma should be included in the differential diagnosis of intussusception caused by an SMT in the intestine.
Keywords:Ileal submucosal tumor  Invagination  Diagnostic imaging  S-100 protein
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