Laparoscopic ileo-cecectomy for ileo-ceco-colic double intussusception due to a cecal adenoma harboring multifocal high grade dysplasia in a 24 years old male: A case report

International Journal of Surgery Case Reports
Elias El-KhouryJad J Terro

Abstract

Intestinal Intussusception is defined as invagination of the intussusceptum into the intussuscepien, and is responsible of 1% of all bowel obstructions. It is rare in adults and common in children. It is mostly due to organic causes in adults that form lead points. Enteroenteric intussusception is the most common type. Signs and symptoms are more classic in children but nonspecific in adults. Usually diagnosis is made intraoperatively, while abdomino-pelvic CT scan is the best preoperative imaging modality. Intestinal Intussusception in adults, especially when the colon is involved, is best treated by surgical resection. A 24 years old previously healthy male with no surgical or documented familial history presenting for severe crampy abdominal pain and distention, obstipation and palpable right lower quadrant abdominal mass. Abdominal Multi-slice CT diagnosed an ileo-colic intussusception without signs of bowel suffering. Laparoscopic ileo-cecetomy. Final Pathology showed a 4 cm cecal tubular adenomatous polyp with multifocal high grade dysplasia. Intestinal intussusception in adults is an interesting rare entity that have the interest of general surgeons. Malignant lesions can be lead-points and they form a great counterpart ...Continue Reading

References

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Sep 23, 2006·Diseases of the Colon and Rectum·Ahmad ZubaidiRichard Silverman
Nov 16, 2007·Emergency Radiology·Frank FloemerChristian T Hamel
Apr 29, 2009·World Journal of Gastroenterology : WJG·Savas YakanMustafa-Ali Korkut
Oct 19, 2010·International Journal of Surgery·Rakesh Kr GuptaPanna Lal Sah
Dec 28, 2011·Emergency Radiology·Sandra Baleato-GonzálezAnxo Martínez de Alegría
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Jul 8, 2017·World Journal of Clinical Cases·Dong Eun Lee, Jae Young Choe
Oct 21, 2018·International Journal of Surgery·Riaz A AghaUNKNOWN SCARE Group

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BETA
surgical resection
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