title: Adult colonic intussusception caused by cecum adenoma: successful treatment by emergency laparoscopy: report of a case.
abstract: Although intestinal intussusception is relatively common in children, in adults it remains a rare clinical entity. We report an emergency laparoscopy for an adult case of colonic intussusception caused by cecum adenoma. In the present case, owing to a successful reduction via laparoscopy, the extensive intussusception could be treated with a more limited resection (wedge resection) instead of an en-bloc wide resection (right hemicolectomy). Because of the theoretical risk of perforations which could lead to the seeding of tumor cells and microorganisms into the intra-abdominal cavity, most surgeons advocate an en-bloc resection without reduction. The experience gained from the present case suggests that laparoscopy may therefore be a useful diagnostic or therapeutic tool for selected cases of adult intussusception. The choice of using either a laparoscopic approach or an open approach depends on the clinical condition of a patient, the location and extent of intussusception, the possibility of underlying disease, and the availability of surgeons with sufficient laparoscopic expertise. Additional reports may help standardize the management of this uncommon disease.
authors.affiliation: Department of Surgery, Ogikubo Hospital, 3-1-24 Imagawa, Suginami-ku, Tokyo 167-0035, Japan.
authors.forename: Tomotaka
authors.initials: T
authors.lastname: Akatsu
authors.forename: Masahiro
authors.initials: M
authors.lastname: Niihara
authors.forename: Kenji
authors.initials: K
authors.lastname: Kojima
authors.forename: Masaki
authors.initials: M
authors.lastname: Kitajima
authors.forename: Yuko
authors.initials: Y
authors.lastname: Kitagawa
authors.forename: Shinji
authors.initials: S
authors.lastname: Murai
mesh_terms: D000236:Adenoma / Q000473:pathology* / Q000601:surgery; D000328:Adult; D002430:Cecal Neoplasms / Q000150:complications / Q000473:pathology*; D004638:Emergency Treatment; D005260:Female; D006801:Humans; D007443:Intussusception / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D010535:Laparoscopy; D016896:Treatment Outcome