Ileocecal intussusception in an adult: the laparoscopic approach.
Adult intussusception is uncommon and requires a surgical approach. Malignancy is associated with 31% (43/137) of small bowel intussusception and 70% (74/106) of large bowel intussusception. Computerized tomography (CT) findings are pathognomonic for this condition. Often, the patient presents with long-standing, nonspecific complaints. A 63-year-old man presented with sudden onset of abdominal pain. CT demonstrated colonic inflammation. A laparoscopic right hemicolectomy for ileocecal intussusception was performed. The pathology report revealed a lipoma of the cecum. The postoperative course was uneventful, and he was discharged the fifth postoperative day. Despite a high incidence of malignancy, colonic or ileocecal intussusception can be successfully treated by laparoscopic resection. Review of the literature and treatment options are discussed.
McKay
Robert
R
Greater Erie Niagara Surgery, Erie, Pennsylvania 16508, USA. rmackay@svhs.org
D002430:Cecal Neoplasms / Q000150:complications; D006801:Humans; D007077:Ileal Diseases; D007080:Ileocecal Valve; D007443:Intussusception / Q000209:etiology / Q000601:surgery*; D010535:Laparoscopy; D008067:Lipoma / Q000150:complications; D008297:Male; D008875:Middle Aged