A Case of Intussusception Caused by Cystic Lymphangioma in an Elderly Patient

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  • 囊胞状小腸リンパ管腫が誘因となり緊急手術を要した高齢腸重積症の1手術例
  • ノウホウジョウ ショウチョウ リンパカン シュ ガ ユウイン ト ナリ キンキュウ シュジュツ オ ヨウシタ コウレイ チョウジュウ セキショウ ノ 1 シュジュツレイ

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Abstract

<p>An 87-year-old female patient with a day’s history of vomiting and watery diarrhea was referred to our hospital. Abdominal CT showed extensive dilatation of the small intestine, and the target sign in the pelvic floor. The patient was diagnosed as having intussusception, and emergency laparotomy was performed. Intraoperative exploration revealed, ileoileal intussusception, which was repositioned by the Hutchinson’s procedure. A tumor, which was presumably the cause of the intussusception, was palpable in the ileum, 50 cm orad to the Bauhin valve. Therefore, partial resection of the intestinal segment including the tumor was performed. Histopathological examination of the resected specimen revealed the diagnosis of cystic lymphangioma. Lymphangioma of the small intestine is rare, and cystic lymphangioma is particularly rare. However, the possibility needs to be borne in mind in adult cases of ileoileal intussusception.</p>

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