Ileocolic invagination in adults: A totally minimally invasive endoscopic and laparoscopic staged approach
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 abd...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2020-01-01
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| Series: | Journal of Minimal Access Surgery |
| Subjects: | |
| Online Access: | http://www.journalofmas.com/article.asp?issn=0972-9941;year=2020;volume=16;issue=1;spage=87;epage=89;aulast=Treppiedi |
| _version_ | 1819069909992210432 |
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| author | Elio Treppiedi Lorenzo Cocchi Giuseppe Zimmitti Alberto Manzoni Valeria Seletti Alessandra Bizzotto Cristiano Spada Marco Garatti Edoardo Rosso |
| author_facet | Elio Treppiedi Lorenzo Cocchi Giuseppe Zimmitti Alberto Manzoni Valeria Seletti Alessandra Bizzotto Cristiano Spada Marco Garatti Edoardo Rosso |
| author_sort | Elio Treppiedi |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-21T16:57:32Z |
| format | Article |
| id | doaj.art-b9d3d43fbc5b4fac951328e5411f3832 |
| institution | Directory Open Access Journal |
| issn | 0972-9941 1998-3921 |
| language | English |
| last_indexed | 2024-12-21T16:57:32Z |
| publishDate | 2020-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Minimal Access Surgery |
| spelling | doaj.art-b9d3d43fbc5b4fac951328e5411f38322022-12-21T18:56:43ZengWolters Kluwer Medknow PublicationsJournal of Minimal Access Surgery0972-99411998-39212020-01-01161878910.4103/jmas.JMAS_279_18Ileocolic invagination in adults: A totally minimally invasive endoscopic and laparoscopic staged approachElio TreppiediLorenzo CocchiGiuseppe ZimmittiAlberto ManzoniValeria SelettiAlessandra BizzottoCristiano SpadaMarco GarattiEdoardo RossoAdult 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.http://www.journalofmas.com/article.asp?issn=0972-9941;year=2020;volume=16;issue=1;spage=87;epage=89;aulast=Treppiediileocolic invaginationintestinal intussusceptionintestinal invagination |
| spellingShingle | Elio Treppiedi Lorenzo Cocchi Giuseppe Zimmitti Alberto Manzoni Valeria Seletti Alessandra Bizzotto Cristiano Spada Marco Garatti Edoardo Rosso Ileocolic invagination in adults: A totally minimally invasive endoscopic and laparoscopic staged approach Journal of Minimal Access Surgery ileocolic invagination intestinal intussusception intestinal invagination |
| title | Ileocolic invagination in adults: A totally minimally invasive endoscopic and laparoscopic staged approach |
| title_full | Ileocolic invagination in adults: A totally minimally invasive endoscopic and laparoscopic staged approach |
| title_fullStr | Ileocolic invagination in adults: A totally minimally invasive endoscopic and laparoscopic staged approach |
| title_full_unstemmed | Ileocolic invagination in adults: A totally minimally invasive endoscopic and laparoscopic staged approach |
| title_short | Ileocolic invagination in adults: A totally minimally invasive endoscopic and laparoscopic staged approach |
| title_sort | ileocolic invagination in adults a totally minimally invasive endoscopic and laparoscopic staged approach |
| topic | ileocolic invagination intestinal intussusception intestinal invagination |
| url | http://www.journalofmas.com/article.asp?issn=0972-9941;year=2020;volume=16;issue=1;spage=87;epage=89;aulast=Treppiedi |
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