J Minim Invasive Surg.  2020 Sep;23(3):149-151. 10.7602/jmis.2020.23.3.149.

Laparoscopic Treatment of Colonic Intussusception Caused by Sigmoid Colon Cancer

• Kwak HY
• Kim MS
• Park JW
• Kim DH
• Lee JH
• Chang YS

• KMID: 2506462
• DOI: http://doi.org/10.7602/jmis.2020.23.3.149

Abstract

Reports on the laparoscopic treatment for colonic intussusception are exceedingly rare. We report a case of colonic intussusception caused by sigmoid colon cancer which was treated with a laparoscopic approach. A 76-year-old man visited an emergency room with the chief complaint of lower abdominal pain. He was diagnosed with colonic intussusception probably due to sigmoid colon cancer on a CT scan. Upon laparoscopic exploration, sigmoid colon intussusception was noted. Manual reduction was impossible because the colonic walls were friable and due to the possibility of a cancerous leading point. Therefore, the bowel was resected with en bloc Hartmann procedure. Pathology of the resected specimen revealed a tumor measuring 4.5 cm in size and comprising moderately differentiated adenocarcinoma (pT3N0M0, pStage II). The patient's postoperative course was uneventful and was discharged on the 8th day after surgery.

Keyword

Intussusception; Laparoscopy; Colon cancer