Retrograde colon intussusception in an adult due to adenoma: Treatment by combined laparoscopic and endoscopic approach |
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Authors: | Kotaro Shibahara Masanobu Ueda Maki Takai Kozo Sonoda Michio Yoshida Soichiro Maekawa |
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Institution: | 1. Department of Surgery, Munakata Medical Hospital, , Fukuoka, Japan;2. Department of Radiology, Munakata Medical Hospital, , Fukuoka, Japan |
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Abstract: | This report describes the case of a young patient who underwent laparoscopic surgery to reduce for a retrograde intussusception of the sigmoid‐descending colon caused by adenoma of the sigmoid colon. A 36‐year‐old woman visited our hospital, complaining primarily of vomiting and abdominal pain. Abdominal CT scan showed the typical finding of intussusception. An emergency colonoscopy revealed that the invaginated colon with a polypoid mass was protruding into the descending colon. A gastrografin enema showed the invaginated bowel segment at the descending colon. We performed endoscopic polypectomy and then hand‐assisted laparoscopic reduction. The pathological finding showed tubular adenoma. Laparoscopy is a diagnostic or therapeutic tool for selected cases of adult intussusception. Benign tumor is one of the causes of intussusception in adults and a good indication for laparoscopic surgery. |
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Keywords: | Colon laparoscopy retrograde intussusception |
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