Retrograde colon intussusception in an adult due to adenoma: Treatment by combined laparoscopic and endoscopic approach. Issue 4 (28th October 2013)

• Record Type: Journal Article
• Authors: Shibahara, Kotaro; Ueda, Masanobu; Takai, Maki; Sonoda, Kozo; Yoshida, Michio; Maekawa, Soichiro
• Is Part Of: Asian journal of endoscopic surgery. Volume 6:Issue 4(2013:Nov.)
• Page Start: 311
• Page End: 313
• Publication Date: 2013-10-28
• Subjects: Endoscopic surgery -- Periodicals; Endoscopic surgery -- Asia -- Periodicals; 617.05705
• DOI: 10.1111/ases.12044
• Languages: English
• ISSNs: 1758-5902

Abstract

<abstract abstract-type="main"> <title>Abstract</title> <p>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.</p> </abstract>