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J Minim Access Surg. 2019 Feb 18. doi: 10.4103/jmas.JMAS_279_18. [Epub ahead of print]

Ileocolic invagination in adults: A totally minimally invasive endoscopic and laparoscopic staged approach.

Author information

1
Department of General Surgery, Poliambulanza Foundation Hospital, Brescia, Italy.
2
Department of General Surgery, University of Genoa, San Martino Hospital, Genova, Italy.
3
Department of Radiology, Poliambulanza Foundation Hospital, Brescia, Italy.
4
Department of Digestive Endoscopy Unit, Poliambulanza Foundation Hospital, Brescia, Italy.

Abstract

Adult intussusception of the bowel is a rare clinical entity, and its management remains debated. The timing of treatment is not yet standardised, and no guidelines exist. We report a case of an 83-year-old woman presenting to the emergency department of our hospital with a history of increasing abdominal pain in the right iliac fossa. A contrast-enhanced computed tomography scan showed the presence of a large ileocolic intussusception with evidence of the terminal ileus invaginated within the right colon and the ileocolic vessels dragged and trapped into the intussusception. A colonoscopy confirmed the ileocolic invagination with a large right colonic lesion as leading point, and a partial pneumatic (carbon dioxide) and hydrostatic reduction was achieved. Subsequent laparoscopic right colectomy was performed according to oncological principles. A totally minimally invasive approach of this rare condition has been achieved but the literature lacks about the correct management of this entity.

KEYWORDS:

Ileocolic invagination; intestinal intussusception; intestinal invagination

PMID:
30777993
DOI:
10.4103/jmas.JMAS_279_18

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