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.

Autor:	El-Khoury E; Department of Surgery, Central Military Hospital, Beirut, Lebanon. Electronic address: efkhoury@gmail.com., El-Darazi E; Department of Nutrition, Holy Spirit University of Kaslik - USEK, Kaslik, Lebanon. Electronic address: ilhamdarazi@hotmail.com., Abtar HK; General Surgery Department, Faculty of Medical Sciences, Lebanese University, Mount Lebanon, Lebanon. Electronic address: dr.houssamabtar@gmail.com., El-Helou E; General Surgery Department, Faculty of Medical Sciences, Lebanese University, Mount Lebanon, Lebanon. Electronic address: Etienne-elhelou@hotmail.com., Jammoul K; General Surgery Department, Faculty of Medical Sciences, Lebanese University, Mount Lebanon, Lebanon. Electronic address: Kas.jam85@gmail.com., Terro JJ; General Surgery Department, Faculty of Medical Sciences, Lebanese University, Mount Lebanon, Lebanon. Electronic address: j.terro@hotmail.com.
Jazyk:	angličtina
Zdroj:	International journal of surgery case reports [Int J Surg Case Rep] 2020; Vol. 77, pp. 362-366. Date of Electronic Publication: 2020 Nov 04.
DOI:	10.1016/j.ijscr.2020.10.119
Abstrakt:	Introduction: 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. Case Presentation: 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. Conclusion: 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 among other colonic lesions. Minimally invasive laparoscopic surgery is gaining interest in management, and surgical resection remains the gold standard while reduction before surgery is debatable and can be considered in selected cases. (Copyright © 2020 The Authors. Published by Elsevier Ltd.. All rights reserved.)
Databáze:	MEDLINE
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