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language
eng
Author
Hirayama, Takanori Department of Digestive and General Surgery, Shimane University Faculty of Medicine, Izumo, Shimane 693-8501, Japan
Description
A 27-year-old man with recurrent right lower quadrant pain was admitted to our hospital. Ultrasonography and computed tomography examination of the abdomen revealed a target sign in the ascending colon, which was compatible with the diagnosis of cecal intussusception. The intussusception was spontaneously resolved at that time, but it relapsed 6 mo later. The patient underwent a successful colonoscopic disinvagination; there was no evidence of neoplastic or inflammatory lesions in the colon and terminal ileum. The patient underwent laparoscopic surgery for recurring cecal intussusception. During laparoscopy, we observed an unfixed cecum on the posterior peritoneum (i.e. a mobile cecum). Thus, we performed laparoscopic appendectomy and cecopexy with a lateral peritoneal flap using a barbed wound suture device. The patient’s post-operative course was uneventful, and he continued to do well without recurrence at 10 mo after surgery. Laparoscopic cecopexy using a barbed wound suture device is a simple and reliable procedure that can be the treatment of choice for recurrent cecal intussusception associated with a mobile cecum.
Subject
Colonic intussusception
Adult
Mobile cecum
Cecopexy
Barbed wound suture device
Journal Title
World journal of gastroenterology
Volume
23
Issue
35
Start Page
6534
End Page
6539
ISSN
1007-9327
ISSN(Online)
2219-2840
Published Date
2017-09-21
DOI
Publisher
Baishideng Publishing Group Inc.
NII Type
Journal Article
Format
PDF
Relation
Rights
© 2004-2020 Baishideng Publishing Group Inc. All rights reserved. 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Text Version
出版社版
Gyoseki ID
e34010
OAI-PMH Set
Faculty of Medicine