title: Laparoscopic treatment of sigmoid colon intussusception by large malignant tumor. Case report.
abstract: 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.
authors.affiliation: University of Parma, Surgical Department, Unit of General Surgery and Organ Transplantation.
authors.forename: P
authors.initials: P
authors.lastname: Dell'abate
authors.forename: P
authors.initials: P
authors.lastname: Del Rio
authors.forename: L
authors.initials: L
authors.lastname: Sommaruga
authors.forename: M F
authors.initials: MF
authors.lastname: Arcuri
authors.forename: M
authors.initials: M
authors.lastname: Sianesi
mesh_terms: 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