Article: Laparoscopic limited hemicolectomy for descending colo-colic intussusception in an adult.
Journal of minimal access surgery
2023
Abstract: Intussusception in adults represents 1% of bowel obstructions and up to 0.02% of all hospital admissions. Amongst these, colo-colic intussusception of the descending colon forms the rarest of causes due to the fixed nature of the descending colon. Most ... ...
Abstract | Intussusception in adults represents 1% of bowel obstructions and up to 0.02% of all hospital admissions. Amongst these, colo-colic intussusception of the descending colon forms the rarest of causes due to the fixed nature of the descending colon. Most of adult intussusceptions follow a lead point and are commonly due to colonic malignancy which may get missed on pre-operative evaluation. Surgery is usually warranted as these patients are usually symptomatic and at risk of vascular compromise, leading to perforations and obscure malignancies. We present a case of laparoscopic limited hemicolectomy and primary anastomosis in a middle-aged male who presented with colo-colic intussusception, which appeared to be following a malignant mass on imaging and lipoma on colonoscopic biopsy done twice. Keeping in mind the possibility of a malignant lead point, no attempt was made to reduce the intussusception and a vessel first approach with 5 cm margin on either side was performed. |
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Language | English |
Publishing date | 2023-09-20 |
Publishing country | India |
Document type | Journal Article |
ZDB-ID | 2186884-0 |
ISSN | 1998-3921 ; 0972-9941 |
ISSN (online) | 1998-3921 |
ISSN | 0972-9941 |
DOI | 10.4103/jmas.jmas_50_23 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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