A Case of Endoscopic Reduction of Idiopathic Intussusception in an Adult

Yokoyama, Yuki; Yamamoto, Yoshio; Sato, Takashi; Nakashima, Yuichi; Tachibana, Maromi; Uchida, Masaaki

doi:10.3919/jjsa.76.1413

Cited by 1 publication

(1 citation statement)

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“…Surgery for adult intussusception is typically laparoscopic, which is considered useful because it is not only diagnostic but also less invasive than laparotomy, and reduction of the intussusception can be performed relatively safely using forceps. Treatment for adult idiopathic intussusception has not been established, with reports describing fixation of the mobile cecum to the retroperitoneum 9) and endoscopic reduction alone 10) , in addition to intestinal resection surgery. Intestinal resection surgery may be overly invasive when idiopathic intussusception does not involve neoplastic lesions.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic surgery for idiopathic adult intussusception successfully reduced by colonoscopy

Imasato

Kim²,

Higashi³

et al. 2019

J Anus Rectum Colon

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Most cases of adult intussusception are caused by neoplastic lesions, and idiopathic adult intussusception is very rare. We present a case in which laparoscopic surgery was performed for idiopathic adult intussusception initially reduced by colonoscopy. A 53-year-old woman presented to the emergency department of our hospital with intermittent lower abdominal pain. Contrast-enhanced computed tomography and ultrasonography of the abdomen showed a concentric structure in the ascending colon. We diagnosed intussusception. Colonoscopy achieved successful reduction before surgery. Twelve days after this reduction, laparoscopic surgery was performed. Histopathological examination did not reveal any causative pathology; therefore, idiopathic adult intussusception was diagnosed. The postoperative course was uneventful, and the patient was discharged on postoperative day 14. Preoperative colonoscopy should be utilized to diagnose the main lesion and may be useful for reducing adult intussusception. Laparoscopic surgery is both minimally invasive and safe and can be performed following endoscopic reduction.

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Section: Discussionmentioning

confidence: 99%