ダウンロード数 : ?
ファイル
言語
英語
著者
Hirayama, Takanori Department of Digestive and General Surgery, Shimane University Faculty of Medicine, Izumo, Shimane 693-8501, Japan
内容記述(抄録等)
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.
主題
Colonic intussusception
Adult
Mobile cecum
Cecopexy
Barbed wound suture device
掲載誌名
World journal of gastroenterology
23
35
開始ページ
6534
終了ページ
6539
ISSN
1007-9327
ISSN(Online)
2219-2840
発行日
2017-09-21
DOI
出版者
Baishideng Publishing Group Inc.
資料タイプ
学術雑誌論文
ファイル形式
PDF
関連情報
権利関係
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著者版/出版社版
出版社版
業績ID
e34010
部局
医学部