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Laparoscopic-assisted resection of jejunojejunal intussusception caused by a juvenile polyp in an adult.

Kang SI, Kang J, Kim MJ, Kim IK, Lee J, Lee KY, Sohn SK - Case Rep Surg (2014)

Bottom Line: Most bowel intussusceptions in adults have a leading point.We report herein the case of a 19-year-old female with a solitary juvenile polyp in the jejunum causing intussusception.Laparoscopic-assisted reduction and segmental resection of the jejunum were successfully done for the patient.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine, 211 Enoju-ro, Gangnam-gu, Seoul 135-720, Republic of Korea.

ABSTRACT
Most bowel intussusceptions in adults have a leading point. However, there have been few reports of jejunojejunal intussusception secondary to a solitary juvenile polyp in adult. We report herein the case of a 19-year-old female with a solitary juvenile polyp in the jejunum causing intussusception. Laparoscopic-assisted reduction and segmental resection of the jejunum were successfully done for the patient.

No MeSH data available.


Related in: MedlinePlus

Trocar insertion sites. We used a 12 mm supraumbilical port for the camera and two 5 mm ports (O: port insertion sites).
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fig2: Trocar insertion sites. We used a 12 mm supraumbilical port for the camera and two 5 mm ports (O: port insertion sites).

Mentions: We used a 12 mm supraumbilical port for the camera. 5 mm ports were placed in the right mid- and lower quadrants of the abdomen (Figure 2). A jejunojejunal intussusception was found to be approximately 20 cm distal to the ligament of Treitz. The intussusceptional segment was approximately 50 cm in length. The involved bowel was dilated, but there was no evidence of bowel ischemia or perforation. Laparoscopic intracorporeal reduction with blunt graspers was performed cautiously. We palpated the remaining small bowels to the terminal ileum using laparoscopic instruments, showing no other masses or abnormalities. Afterwards, a 5 cm extension of the vertical incision was made along the supraumbilical port site, through which the small bowel was exteriorized. The large solitary luminal protruding polyp was located in the jejunum (Figure 3). Approximately 10 cm of jejunum including the polyp was resected. An end-to-end anastomosis was created by the hand-sewn method. The anastomosed jejunum was placed back into the peritoneal cavity. The extensional incision site was closed. A drain was inserted near the anastomosis site in the pelvic cavity. The total operation time was 137 minutes.


Laparoscopic-assisted resection of jejunojejunal intussusception caused by a juvenile polyp in an adult.

Kang SI, Kang J, Kim MJ, Kim IK, Lee J, Lee KY, Sohn SK - Case Rep Surg (2014)

Trocar insertion sites. We used a 12 mm supraumbilical port for the camera and two 5 mm ports (O: port insertion sites).
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4109603&req=5

fig2: Trocar insertion sites. We used a 12 mm supraumbilical port for the camera and two 5 mm ports (O: port insertion sites).
Mentions: We used a 12 mm supraumbilical port for the camera. 5 mm ports were placed in the right mid- and lower quadrants of the abdomen (Figure 2). A jejunojejunal intussusception was found to be approximately 20 cm distal to the ligament of Treitz. The intussusceptional segment was approximately 50 cm in length. The involved bowel was dilated, but there was no evidence of bowel ischemia or perforation. Laparoscopic intracorporeal reduction with blunt graspers was performed cautiously. We palpated the remaining small bowels to the terminal ileum using laparoscopic instruments, showing no other masses or abnormalities. Afterwards, a 5 cm extension of the vertical incision was made along the supraumbilical port site, through which the small bowel was exteriorized. The large solitary luminal protruding polyp was located in the jejunum (Figure 3). Approximately 10 cm of jejunum including the polyp was resected. An end-to-end anastomosis was created by the hand-sewn method. The anastomosed jejunum was placed back into the peritoneal cavity. The extensional incision site was closed. A drain was inserted near the anastomosis site in the pelvic cavity. The total operation time was 137 minutes.

Bottom Line: Most bowel intussusceptions in adults have a leading point.We report herein the case of a 19-year-old female with a solitary juvenile polyp in the jejunum causing intussusception.Laparoscopic-assisted reduction and segmental resection of the jejunum were successfully done for the patient.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine, 211 Enoju-ro, Gangnam-gu, Seoul 135-720, Republic of Korea.

ABSTRACT
Most bowel intussusceptions in adults have a leading point. However, there have been few reports of jejunojejunal intussusception secondary to a solitary juvenile polyp in adult. We report herein the case of a 19-year-old female with a solitary juvenile polyp in the jejunum causing intussusception. Laparoscopic-assisted reduction and segmental resection of the jejunum were successfully done for the patient.

No MeSH data available.


Related in: MedlinePlus