Kim YK. Single-incision laparoscopic surgery for jejuno-jejunal intussusception caused by an angiolipomatous polyp in an adult: A case report.
Medicine (Baltimore) 2019;
98:e18280. [PMID:
31852102 PMCID:
PMC6922439 DOI:
10.1097/md.0000000000018280]
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Abstract
RATIONALE
Small bowel intussusception in adults is rare but is more likely to occur in the presence of a lead point. Surgical intervention is necessary in most cases, even if there is successful nonsurgical reduction of the intussusception.
PATIENT CONCERNS
A 54-year-old woman who was transferred to our emergency room with complaints of intermittent cramping pain of 4 days' duration.
DIAGNOSIS
Abdominal contrast-enhanced computed tomography revealed a jejuno-jejunal intussusception due to an angiolipomatous polyp.
INTERVENTION
A single-incision laparoscopic surgery (SILS) was performed without the need for any additional incisions.
OUTCOMES
She was uneventfully discharged on postoperative day 4.
LESSONS
The SILS procedure with adequate preoperative diagnosis by CT, with or without US, can offer good clinical outcomes for small bowel intussusception. Even surgeons who have little experience with laparoscopic intestinal anastomosis can consider SILS to treat small bowel intussusception in adults.
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