Laparoscopic limited hemicolectomy for descending colo-colic intussusception in an adult.

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Tác giả: Akash Akash, Nikhil Gupta, Aditya Kumar

Ngôn ngữ: eng

Ký hiệu phân loại: 333.783 *Parks

Thông tin xuất bản: India : Journal of minimal access surgery , 2025

Mô tả vật lý:

Bộ sưu tập: NCBI

ID: 250447

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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