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  • Title: Retrograde colon intussusception in an adult due to adenoma: treatment by combined laparoscopic and endoscopic approach.
    Author: Shibahara K, Ueda M, Takai M, Sonoda K, Yoshida M, Maekawa S.
    Journal: Asian J Endosc Surg; 2013 Nov; 6(4):311-3. PubMed ID: 24308592.
    Abstract:
    This report describes the case of a young patient who underwent laparoscopic surgery to reduce for a retrograde intussusception of the sigmoid-descending colon caused by adenoma of the sigmoid colon. A 36-year-old woman visited our hospital, complaining primarily of vomiting and abdominal pain. Abdominal CT scan showed the typical finding of intussusception. An emergency colonoscopy revealed that the invaginated colon with a polypoid mass was protruding into the descending colon. A gastrografin enema showed the invaginated bowel segment at the descending colon. We performed endoscopic polypectomy and then hand-assisted laparoscopic reduction. The pathological finding showed tubular adenoma. Laparoscopy is a diagnostic or therapeutic tool for selected cases of adult intussusception. Benign tumor is one of the causes of intussusception in adults and a good indication for laparoscopic surgery.
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