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Laparoscopic management of an octogenarian adult intussusception caused by an ileal lipoma suspected preoperatively: a case report
Adult intussusception is rare and usually caused by a tumor acting as the lead point. Therefore, laparotomy should be considered for the treatment. Laparoscopic procedures for use in cases of adult intussusception have been recently reported; however, there is no consensus regarding the safety and e...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4340886/ https://www.ncbi.nlm.nih.gov/pubmed/25890311 http://dx.doi.org/10.1186/s12957-015-0504-y |
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author | Shimazaki, Jiro Nakachi, Takeshi Tabuchi, Takanobu Suzuki, Shuji Ubukata, Hideyuki Tabuchi, Takafumi |
author_facet | Shimazaki, Jiro Nakachi, Takeshi Tabuchi, Takanobu Suzuki, Shuji Ubukata, Hideyuki Tabuchi, Takafumi |
author_sort | Shimazaki, Jiro |
collection | PubMed |
description | Adult intussusception is rare and usually caused by a tumor acting as the lead point. Therefore, laparotomy should be considered for the treatment. Laparoscopic procedures for use in cases of adult intussusception have been recently reported; however, there is no consensus regarding the safety and efficacy. Here, we describe a successful case of laparoscopic management of an octogenarian adult intussusception caused by an ileal lipoma, which was preoperatively suspected. An 87-year-old male presented with progressive abdominal distention and vomiting. Contrast radiography of the small intestine showed an ileal tumor, and magnetic resonance imaging indicated a target-like mass, consistent with an ileal intussusception. The patient was suspected with an intussusception due to an ileal lipoma, and laparoscopic surgery was performed. An approximately 10-cm-long ileal intussusception with a preceding tumor was present, and partial resection of the ileum, including the tumor, was performed. Macroscopic examination of the excised specimen showed a pedunculated tumor measuring 4.0 × 3.5 × 1.9 cm with an uneven surface, yielding a histological diagnosis of lipoma. The patient had an uneventful recovery and was discharged on postoperative day 8. This successful case showed that laparoscopic surgery can be a useful, safe, and efficacious procedure for adult intussusception, even in octogenarians. |
format | Online Article Text |
id | pubmed-4340886 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-43408862015-02-27 Laparoscopic management of an octogenarian adult intussusception caused by an ileal lipoma suspected preoperatively: a case report Shimazaki, Jiro Nakachi, Takeshi Tabuchi, Takanobu Suzuki, Shuji Ubukata, Hideyuki Tabuchi, Takafumi World J Surg Oncol Case Report Adult intussusception is rare and usually caused by a tumor acting as the lead point. Therefore, laparotomy should be considered for the treatment. Laparoscopic procedures for use in cases of adult intussusception have been recently reported; however, there is no consensus regarding the safety and efficacy. Here, we describe a successful case of laparoscopic management of an octogenarian adult intussusception caused by an ileal lipoma, which was preoperatively suspected. An 87-year-old male presented with progressive abdominal distention and vomiting. Contrast radiography of the small intestine showed an ileal tumor, and magnetic resonance imaging indicated a target-like mass, consistent with an ileal intussusception. The patient was suspected with an intussusception due to an ileal lipoma, and laparoscopic surgery was performed. An approximately 10-cm-long ileal intussusception with a preceding tumor was present, and partial resection of the ileum, including the tumor, was performed. Macroscopic examination of the excised specimen showed a pedunculated tumor measuring 4.0 × 3.5 × 1.9 cm with an uneven surface, yielding a histological diagnosis of lipoma. The patient had an uneventful recovery and was discharged on postoperative day 8. This successful case showed that laparoscopic surgery can be a useful, safe, and efficacious procedure for adult intussusception, even in octogenarians. BioMed Central 2015-02-22 /pmc/articles/PMC4340886/ /pubmed/25890311 http://dx.doi.org/10.1186/s12957-015-0504-y Text en © Shimazaki et al.; licensee BioMed Central. 2015 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Case Report Shimazaki, Jiro Nakachi, Takeshi Tabuchi, Takanobu Suzuki, Shuji Ubukata, Hideyuki Tabuchi, Takafumi Laparoscopic management of an octogenarian adult intussusception caused by an ileal lipoma suspected preoperatively: a case report |
title | Laparoscopic management of an octogenarian adult intussusception caused by an ileal lipoma suspected preoperatively: a case report |
title_full | Laparoscopic management of an octogenarian adult intussusception caused by an ileal lipoma suspected preoperatively: a case report |
title_fullStr | Laparoscopic management of an octogenarian adult intussusception caused by an ileal lipoma suspected preoperatively: a case report |
title_full_unstemmed | Laparoscopic management of an octogenarian adult intussusception caused by an ileal lipoma suspected preoperatively: a case report |
title_short | Laparoscopic management of an octogenarian adult intussusception caused by an ileal lipoma suspected preoperatively: a case report |
title_sort | laparoscopic management of an octogenarian adult intussusception caused by an ileal lipoma suspected preoperatively: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4340886/ https://www.ncbi.nlm.nih.gov/pubmed/25890311 http://dx.doi.org/10.1186/s12957-015-0504-y |
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