A Case of Laparoscopic-assisted Ileocecal Resection for Cecal Endometriosis with Intestinal Intussusception

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  • ODAIRA Masanori
    Department of General Gastroenterological Surgery, Tokyo Saiseikai Central Hospital
  • MAEDA Yusuke
    Department of General Gastroenterological Surgery, Tokyo Saiseikai Central Hospital
  • KOBAYASHI Yosuke
    Department of General Gastroenterological Surgery, Tokyo Saiseikai Central Hospital
  • TORIUMI Fumiki
    Department of General Gastroenterological Surgery, Tokyo Saiseikai Central Hospital
  • ENDO Takashi
    Department of General Gastroenterological Surgery, Tokyo Saiseikai Central Hospital
  • HARADA Hirohisa
    Department of General Gastroenterological Surgery, Tokyo Saiseikai Central Hospital

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Other Title
  • 腹腔鏡下回盲部切除を行った腸重積合併盲腸子宮内膜症の1例
  • 症例 腹腔鏡下回盲部切除を行った腸重積合併盲腸子宮内膜症の1例
  • ショウレイ フククウキョウ カカイ モウブ セツジョ オ オコナッタ チョウジュウ セキ ガッペイ モウチョウ シキュウ ナイマクショウ ノ 1レイ

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Abstract

<p>A 46-year-old woman visited our emergency clinic with the chief complaint of abdominal pain. Abdominal contrast-enhanced computed tomography showed intestinal intussusception from the cecum to the ascending colon. Tumorous lesion was suspected as a cause of the intussusception. Emergency laparoscopic surgery using three ports was performed. The intussusception was manually reduced on the outside of the body. Although no definitive diagnosis was obtained, a possibility of a malignant tumor could not be ruled out. Therefore, laparoscopic ileocecal resection with lymph node dissection was performed. The patient had an uncomplicated postoperative course and was discharged 7 days after the surgery. Endometriosis of the cecum was diagnosed on pathology. The patient has been on hormonal therapy to prevent recurrence. Adult intussusception is a relatively rare condition and is usually caused by organic lesions, such as tumors or inflammation. Cecal endometriosis manifesting intussusception is a rare illness. We report a patient with cecal endometriosis presented with intussusception and was treated by laparoscopic-assisted ileocecal resection, with the literature review.</p>

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