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[A Case of Elective Laparoscopic Resection for Sigmoid Colon Cancer with Irreducible Intussusception]

Hideaki Kawakita1, Yoshiaki Osaka, Fumiaki Kato

  • 1Dept. of Gastrointestinal and General Surgery, Kohsei Chuo General Hospital.

Gan to Kagaku Ryoho. Cancer & Chemotherapy
|January 20, 2022
PubMed

Insights

Adult intussusception, often asymptomatic, may not require emergency treatment. This case highlights successful elective laparoscopic surgery for sigmoid colon cancer with intussusception.

Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Geriatric Medicine

Background:

  • An 85-year-old male presented with a right greater trochanteric fracture.
  • Diagnostic imaging incidentally revealed rectal intussusception, which was initially managed conservatively due to mild symptoms.

Observation:

  • The patient developed persistent mucous stool, prompting further investigation.
  • Work-up confirmed sigmoid colon cancer with associated intussusception.

Findings:

  • The intussusception was irreducible via barium enema.
  • The patient successfully underwent elective laparoscopic surgery for the sigmoid colon cancer with intussusception, demonstrating a favorable postoperative outcome.

Implications:

  • Asymptomatic adult intussusception may not necessitate urgent intervention.
  • Elective surgical management, including minimally invasive laparoscopic approaches, is a viable option for selected cases of adult intussusception and associated malignancy.

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