Laparoscopic treatment of sigmoid colon intussusception by large malignant tumor. Case report.
Intestinal intussusception is rare in adults, but common in children. The ileocolic or appendiceal types are more frequent compared to the colo-colic one. We report successful laparoscopic left hemicolectomy in a patient with intussusception caused by a sigmoid tumor. Abdominal CT demonstrated a colo-colic intussusception at the level of the tumoral lesion with dilation of the proximal colon. The patient underwent urgent laparoscopic oncologically radical left hemicolectomy. A 10 cm Pfannenstiel incision allowed the removal of the resected segment. The laparoscopic approach was feasible because the dilation was moderate; however, if intussusception is due to cancer, laparoscopy can be safely performed if a correct and prompt diagnosis is achieved following oncologic criteria.
Dell'abate
P
P
University of Parma, Surgical Department, Unit of General Surgery and Organ Transplantation.
Del Rio
P
P
Sommaruga
L
L
Arcuri
M F
MF
Sianesi
M
M
D002288:Adenocarcinoma, Mucinous / Q000150:complications / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery*; D000368:Aged; D003082:Colectomy / Q000379:methods; D005240:Feasibility Studies; D006801:Humans; D007443:Intussusception / Q000175:diagnosis / Q000209:etiology / Q000473:pathology* / Q000601:surgery*; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D012811:Sigmoid Neoplasms / Q000150:complications / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery*; D016896:Treatment Outcome