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Traditional Serrated Adenoma of the Ileum with Intussusception Successfully Treated with Laparoscopic Bowel Resection

The most common site of traditional serrated adenomas (TSA) is the area from the left colon to the rectum; however, there are few reports on TSA in the small intestine. Herein, we report a case of TSA of the ileum with intussusception that was diagnosed and successfully treated with laparoscopic bow...

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Autores principales: Nishide, Ryo, Kamada, Teppei, Takahashi, Junji, Nakashima, Keigo, Ito, Eisaku, Nakaseko, Yuichi, Suzuki, Norihiko, Yoshida, Masashi, Ohdaira, Hironori, Suzuki, Yutaka
Formato: Online Artículo Texto
Lenguaje:English
Publicado: S. Karger AG 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9906037/
https://www.ncbi.nlm.nih.gov/pubmed/36760464
http://dx.doi.org/10.1159/000529093
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author Nishide, Ryo
Kamada, Teppei
Takahashi, Junji
Nakashima, Keigo
Ito, Eisaku
Nakaseko, Yuichi
Suzuki, Norihiko
Yoshida, Masashi
Ohdaira, Hironori
Suzuki, Yutaka
author_facet Nishide, Ryo
Kamada, Teppei
Takahashi, Junji
Nakashima, Keigo
Ito, Eisaku
Nakaseko, Yuichi
Suzuki, Norihiko
Yoshida, Masashi
Ohdaira, Hironori
Suzuki, Yutaka
author_sort Nishide, Ryo
collection PubMed
description The most common site of traditional serrated adenomas (TSA) is the area from the left colon to the rectum; however, there are few reports on TSA in the small intestine. Herein, we report a case of TSA of the ileum with intussusception that was diagnosed and successfully treated with laparoscopic bowel resection. The patient was a 29-year-old female with the chief complaint of recurrent abdominal pain and vomiting. Contrast-enhanced computed tomography showed a mass in the ileum and intussusception with the mass as the lead point. The patient was diagnosed with intussusception secondary to a small intestinal tumor. Due to the difficulty in endoscopic treatment resulting from the localization of the lesion, elective laparoscopic surgery was planned. Intra-abdominal examination revealed intussusception of the small intestine in the pelvic ileum, and an elastic soft mass 400 cm from the ligament of Treitz was identified at the lead point of intussusception. Partial laparoscopic resection of the small intestine was performed, with an operation time of 81 min, and a small amount of bleeding. The pathological diagnosis was TSA of the ileum, and the patient’s postoperative course was good, with no complications. Seven months after the surgery, no recurrence of symptoms was observed. Therefore, from our case of TSA of the ileum with intussusception that was successfully treated with laparoscopic bowel resection, we conclude that when intussusception of the small intestine occurs, TSA of the ileum with malignant potential is possible, and early diagnosis by resection should be considered.
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spelling pubmed-99060372023-02-08 Traditional Serrated Adenoma of the Ileum with Intussusception Successfully Treated with Laparoscopic Bowel Resection Nishide, Ryo Kamada, Teppei Takahashi, Junji Nakashima, Keigo Ito, Eisaku Nakaseko, Yuichi Suzuki, Norihiko Yoshida, Masashi Ohdaira, Hironori Suzuki, Yutaka Case Rep Gastroenterol Single Case The most common site of traditional serrated adenomas (TSA) is the area from the left colon to the rectum; however, there are few reports on TSA in the small intestine. Herein, we report a case of TSA of the ileum with intussusception that was diagnosed and successfully treated with laparoscopic bowel resection. The patient was a 29-year-old female with the chief complaint of recurrent abdominal pain and vomiting. Contrast-enhanced computed tomography showed a mass in the ileum and intussusception with the mass as the lead point. The patient was diagnosed with intussusception secondary to a small intestinal tumor. Due to the difficulty in endoscopic treatment resulting from the localization of the lesion, elective laparoscopic surgery was planned. Intra-abdominal examination revealed intussusception of the small intestine in the pelvic ileum, and an elastic soft mass 400 cm from the ligament of Treitz was identified at the lead point of intussusception. Partial laparoscopic resection of the small intestine was performed, with an operation time of 81 min, and a small amount of bleeding. The pathological diagnosis was TSA of the ileum, and the patient’s postoperative course was good, with no complications. Seven months after the surgery, no recurrence of symptoms was observed. Therefore, from our case of TSA of the ileum with intussusception that was successfully treated with laparoscopic bowel resection, we conclude that when intussusception of the small intestine occurs, TSA of the ileum with malignant potential is possible, and early diagnosis by resection should be considered. S. Karger AG 2023-02-07 /pmc/articles/PMC9906037/ /pubmed/36760464 http://dx.doi.org/10.1159/000529093 Text en © 2023 The Author(s). Published by S. Karger AG, Basel https://creativecommons.org/licenses/by-nc/4.0/This article is licensed under the Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC) (http://www.karger.com/Services/OpenAccessLicense). Usage and distribution for commercial purposes requires written permission.
spellingShingle Single Case
Nishide, Ryo
Kamada, Teppei
Takahashi, Junji
Nakashima, Keigo
Ito, Eisaku
Nakaseko, Yuichi
Suzuki, Norihiko
Yoshida, Masashi
Ohdaira, Hironori
Suzuki, Yutaka
Traditional Serrated Adenoma of the Ileum with Intussusception Successfully Treated with Laparoscopic Bowel Resection
title Traditional Serrated Adenoma of the Ileum with Intussusception Successfully Treated with Laparoscopic Bowel Resection
title_full Traditional Serrated Adenoma of the Ileum with Intussusception Successfully Treated with Laparoscopic Bowel Resection
title_fullStr Traditional Serrated Adenoma of the Ileum with Intussusception Successfully Treated with Laparoscopic Bowel Resection
title_full_unstemmed Traditional Serrated Adenoma of the Ileum with Intussusception Successfully Treated with Laparoscopic Bowel Resection
title_short Traditional Serrated Adenoma of the Ileum with Intussusception Successfully Treated with Laparoscopic Bowel Resection
title_sort traditional serrated adenoma of the ileum with intussusception successfully treated with laparoscopic bowel resection
topic Single Case
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9906037/
https://www.ncbi.nlm.nih.gov/pubmed/36760464
http://dx.doi.org/10.1159/000529093
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