Single-Port Laparoscopic-Assisted Surgery for Perforation of Ileac Duplication: A Case Report

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  • Kato Daiki
    Department of Pediatric Surgery, Anjo Kosei Hospital Department of Surgery, Anjo Kosei Hospital
  • Seki Takashi
    Department of Pediatric Surgery, Anjo Kosei Hospital Department of Surgery, Anjo Kosei Hospital
  • Okamoto Masamune
    Department of Pediatric Surgery, Anjo Kosei Hospital Department of Surgery, Anjo Kosei Hospital
  • Makita Satoshi
    Department of Pediatric Surgery, Nagoya University Graduate School of Medicine
  • Arai Toshiyuki
    Department of Surgery, Anjo Kosei Hospital

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Other Title
  • 単孔式腹腔鏡補助下手術が診断・治療に有用であった回腸重複腸管穿孔の1例
  • 症例報告 単孔式腹腔鏡補助下手術が診断・治療に有用であった回腸重複腸管穿孔の1例
  • ショウレイ ホウコク タンコウシキ フククウキョウ ホジョ シタテジュツ ガ シンダン ・ チリョウ ニ ユウヨウ デ アッタ カイチョウ チョウフク チョウカン センコウ ノ 1レイ

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Abstract

<p>A 6-year-old boy who presented with abdominal pain was referred to our hospital. Enhanced abdominal CT revealed free gases in the abdominal cavity. We diagnosed him as having acute peritonitis owing to gastrointestinal perforation, but we were unable to identify the perforation site preoperatively. We performed emergency single-port laparoscopic-assisted surgery using a multichannel port (two 5-mm ports) with umbilical Benz incision. We identified the inflammatory ileum and pulled it out. A cystic lesion, with a hole at the base, was detected about 40 cm proximal to the end of the ileum. We partially resected the ileum. A histopathological examination revealed perforation of ileac duplication, which is rare and its preoperative diagnosis is difficult. We performed the single-port laparoscopic-assisted surgery without wound extension. The single-port laparoscopic-assisted surgery with the Benz incision is useful for the diagnosis and treatment of pediatric acute abdomen.</p>

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