Laparoscopic-assisted resection of ileal lipoma causing ileo-ileo-colic intussusception.
نویسندگان
چکیده
Adult intussusception is rare, and the majority of cases has an underlying cause that requires surgical resection. We report a case of a 39 yr-old man with ileo-ileo-colic intussusception caused by ileal lipoma that was successfully managed by a laparoscopic-assisted surgical maneuver. Using a three-cannula technique, ileo-colic intussusception was reduced laparoscopically. Then, through a 4-cm transverse incision in the right lower quadrant abdomen, ileo-ileal intussusception was reduced manually, and a resection of the tumor-bearing ileal segment and end-to-end anastomosis was performed extracorporeally. Although the role of laparoscopy in managing intussusception is not clearly defined, laparoscopy may be an alternative approach to the surgical treatment of adult intussusception in selected cases.
منابع مشابه
Ileo-colic intussusception by ileo-cecal valve lipoma - an infrequent ultrasonographic occurrence. A case report.
We present a rare cause of intestinal obstruction in an adult, due to ileo-colic intussusception by a lipoma of the ileo-cecal valve and its ultrasonographic presentation. The case presented in emergency for spontaneously appearing and disappearing palpable elastic mass in the right iliac fossa. The ultrasonographic examination raised the suspicion of an ileo-colic intussusception due to a poly...
متن کاملIleo Ileal Intussusception secondary to Submucosal Ileal Lipoma – A Case Report
Intussusception in adults accounts for less than 5 % of all intussusceptions. It occurs when a segment of intestine invaginates into itself. Here we report a 60 year old female patient with pain abdomen over 4 years duration, located in the lower abdomen which was insidious in onset and colicky in nature lasting for 15 to 30 minutes, which aggravated on taking food and relieved after passing st...
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BACKGROUND Mantle cell lymphoma (MCL) is an aggressive type of B-cell non-Hodgkin's lymphoma that originates from small to medium sized lymphocytes located in the mantle zone of the lymph node. Extra nodal involvement is present in the majority of cases, with a peculiar tendency to invade the gastro-intestinal tract in the form of multiple lymphomatous polyposis. MCL can be accurately diagnosed...
متن کاملAdult intussusception--a surgical dilemma.
BACKGROUND Adult intussusception is rare. It is expected to be found in 1/30,000 of all hospital admissions, 1/1300 of all abdominal operations, 1/30-1/100 of all cases operated for intestinal obstruction and one case of adult intussusception for every 20 childhood ones. METHODS The authors encountered 4 cases of adult intussusception. M:F ratio was 1:1. Mean age was 47years. Small bowel obst...
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ورودعنوان ژورنال:
- Journal of Korean Medical Science
دوره 16 شماره
صفحات -
تاریخ انتشار 2001