Laparoscopic-assisted resection of ileal lipoma causing ileo-ileo-colic intussusception.
10.3346/jkms.2001.16.1.119
- Author:
Kwan Tae PARK
1
;
Seon Hahn KIM
;
Tae Jin SONG
;
Hong Young MOON
Author Information
1. Department of Surgery, Korea University College of Medicine, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Intussusception;
Laparoscopy;
Adult;
Colon;
Ileum;
Lipoma
- MeSH:
Adult;
Case Report;
Human;
Ileal Diseases/surgery*;
Ileal Neoplasms/surgery*;
Intussusception/surgery*;
Laparoscopy;
Lipoma/surgery*;
Male
- From:Journal of Korean Medical Science
2001;16(1):119-122
- CountryRepublic of Korea
- Language:English
-
Abstract:
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.