Limits...
Laparoscopic management of sigmoidorectal intussusception.

Greenley CT, Ahmed B, Friedman L, Deitte L, Awad ZT - JSLS (2010 Jan-Mar)

Bottom Line: Adult intussusception is an uncommon entity.Surgical resection is required because of the high incidence of pathological lead point.We report a case of sigmoidorectal intussusception caused by a large tubulovillous adenoma.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, Minimally Invasive Surgery, University of Florida, Jacksonville, Florida 32209, USA.

ABSTRACT
Adult intussusception is an uncommon entity. Surgical resection is required because of the high incidence of pathological lead point. We report a case of sigmoidorectal intussusception caused by a large tubulovillous adenoma. The patient underwent laparoscopic sigmoidectomy.

Show MeSH

Related in: MedlinePlus

Axial image demonstrates the “target sign” of an intussusception. Normal rectal wall (thin white arrow) is seen surrounding normal sigmoid mucosa (thin black arrow) as well as the enhancing sigmoid lesion (thick white arrow). In the center of the “target” is mesenteric fat (thick black arrow). Again seen is the fluid between the rectal wall and sigmoid and within the sigmoid between the sigmoid mucosa and the mesenteric fat.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC3021307&req=5

Figure 1: Axial image demonstrates the “target sign” of an intussusception. Normal rectal wall (thin white arrow) is seen surrounding normal sigmoid mucosa (thin black arrow) as well as the enhancing sigmoid lesion (thick white arrow). In the center of the “target” is mesenteric fat (thick black arrow). Again seen is the fluid between the rectal wall and sigmoid and within the sigmoid between the sigmoid mucosa and the mesenteric fat.

Mentions: A 76-year-old female patient presented with a 2-day history of left lower abdominal pain and blood-streaked loose stools. There was no history of weight loss, recent change in bowel function, or similar abdominal complaints in the past. The patient never had a screening colonoscopy. Abdominal examination was unremarkable; digital rectal examination revealed a large mass at the anterior rectal wall 2cm cephalic to the dentate line. All laboratory tests, including the tumor markers, were within normal limits. Emergent flexible sigmoidoscopy was attempted; however, the scope could not pass the partially obstructing lesion. Computed tomographic scan of the abdomen and pelvis showed a mass within the sigmoid colon and evidence of SRI (Figures 1 and 2).


Laparoscopic management of sigmoidorectal intussusception.

Greenley CT, Ahmed B, Friedman L, Deitte L, Awad ZT - JSLS (2010 Jan-Mar)

Axial image demonstrates the “target sign” of an intussusception. Normal rectal wall (thin white arrow) is seen surrounding normal sigmoid mucosa (thin black arrow) as well as the enhancing sigmoid lesion (thick white arrow). In the center of the “target” is mesenteric fat (thick black arrow). Again seen is the fluid between the rectal wall and sigmoid and within the sigmoid between the sigmoid mucosa and the mesenteric fat.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3021307&req=5

Figure 1: Axial image demonstrates the “target sign” of an intussusception. Normal rectal wall (thin white arrow) is seen surrounding normal sigmoid mucosa (thin black arrow) as well as the enhancing sigmoid lesion (thick white arrow). In the center of the “target” is mesenteric fat (thick black arrow). Again seen is the fluid between the rectal wall and sigmoid and within the sigmoid between the sigmoid mucosa and the mesenteric fat.
Mentions: A 76-year-old female patient presented with a 2-day history of left lower abdominal pain and blood-streaked loose stools. There was no history of weight loss, recent change in bowel function, or similar abdominal complaints in the past. The patient never had a screening colonoscopy. Abdominal examination was unremarkable; digital rectal examination revealed a large mass at the anterior rectal wall 2cm cephalic to the dentate line. All laboratory tests, including the tumor markers, were within normal limits. Emergent flexible sigmoidoscopy was attempted; however, the scope could not pass the partially obstructing lesion. Computed tomographic scan of the abdomen and pelvis showed a mass within the sigmoid colon and evidence of SRI (Figures 1 and 2).

Bottom Line: Adult intussusception is an uncommon entity.Surgical resection is required because of the high incidence of pathological lead point.We report a case of sigmoidorectal intussusception caused by a large tubulovillous adenoma.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, Minimally Invasive Surgery, University of Florida, Jacksonville, Florida 32209, USA.

ABSTRACT
Adult intussusception is an uncommon entity. Surgical resection is required because of the high incidence of pathological lead point. We report a case of sigmoidorectal intussusception caused by a large tubulovillous adenoma. The patient underwent laparoscopic sigmoidectomy.

Show MeSH
Related in: MedlinePlus