title: Retrograde colon intussusception in an adult due to adenoma: treatment by combined laparoscopic and endoscopic approach.
abstract: This report describes the case of a young patient who underwent laparoscopic surgery to reduce for a retrograde intussusception of the sigmoid-descending colon caused by adenoma of the sigmoid colon. A 36-year-old woman visited our hospital, complaining primarily of vomiting and abdominal pain. Abdominal CT scan showed the typical finding of intussusception. An emergency colonoscopy revealed that the invaginated colon with a polypoid mass was protruding into the descending colon. A gastrografin enema showed the invaginated bowel segment at the descending colon. We performed endoscopic polypectomy and then hand-assisted laparoscopic reduction. The pathological finding showed tubular adenoma. Laparoscopy is a diagnostic or therapeutic tool for selected cases of adult intussusception. Benign tumor is one of the causes of intussusception in adults and a good indication for laparoscopic surgery.
authors.affiliation: Department of Surgery, Munakata Medical Hospital, Fukuoka, Japan.
authors.forename: Kotaro
authors.initials: K
authors.lastname: Shibahara
authors.forename: Masanobu
authors.initials: M
authors.lastname: Ueda
authors.forename: Maki
authors.initials: M
authors.lastname: Takai
authors.forename: Kozo
authors.initials: K
authors.lastname: Sonoda
authors.forename: Michio
authors.initials: M
authors.lastname: Yoshida
authors.forename: Soichiro
authors.initials: S
authors.lastname: Maekawa
mesh_terms: D000236:Adenoma / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D000328:Adult; D003108:Colonic Diseases / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D003110:Colonic Neoplasms / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D003113:Colonoscopy / Q000379:methods*; D003937:Diagnosis, Differential; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007443:Intussusception / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D010535:Laparoscopy / Q000379:methods*; D014057:Tomography, X-Ray Computed
keywords: Colon; laparoscopy; retrograde intussusception