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  • Title: Laparoscopic treatment of sigmoid colon intussusception by large malignant tumor. Case report.
    Author: Dell'abate P, Del Rio P, Sommaruga L, Arcuri MF, Sianesi M.
    Journal: G Chir; 2009; 30(8-9):374-6. PubMed ID: 19735619.
    Abstract:
    Intestinal intussusception is rare in adults, but common in children. The ileocolic or appendiceal types are more frequent compared to the colo-colic one. We report successful laparoscopic left hemicolectomy in a patient with intussusception caused by a sigmoid tumor. Abdominal CT demonstrated a colo-colic intussusception at the level of the tumoral lesion with dilation of the proximal colon. The patient underwent urgent laparoscopic oncologically radical left hemicolectomy. A 10 cm Pfannenstiel incision allowed the removal of the resected segment. The laparoscopic approach was feasible because the dilation was moderate; however, if intussusception is due to cancer, laparoscopy can be safely performed if a correct and prompt diagnosis is achieved following oncologic criteria.
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