Laparoscopic Surgery for an Intussusception Caused by a Lipoma in the Ascending Colon
손동녕, 정호근, 하동엽,
소속 상세정보
손동녕 ( Son Dong-Nyoung )
Dream Hospital Department of Surgery
정호근 ( Jung Ho-Geun )
Dongguk University College of Medicine Department of Surgery
하동엽 ( Ha Dong-Yeop )
Dongguk University College of Medicine Department of Surgery
KMID : 0356720130290020080
Abstract
A colonic intussusception caused by an intraluminal lipoma is a rare disease in adults, in whom it usually has a definite organic cause. In fact, it is either caused by a benign or a malignant condition, both of which occur at similar rates. However, little literature is available on laparoscopic procedures for use in cases of adult colonic intussusceptions. Recently, a 52-year-old woman was admitted to our hospital with abdominal pain of one-month duration. Abdominal computed tomography showed an intussusception with a fat-containing mass in the right hepatic area. Colonoscopy showed a colon lumen occupied by the mass. A right hemicolectomy was performed laparoscopically, and the cause of the intussusception was found to be a lipoma. Before obtaining histological confirmation, we carefully perform a laparoscopic procedure, which required consideration of the relations between the involved colonic segment and other conditions such as the location of main vessels, the anatomical exposure with respect to colonic mobilization and the location of specimen retrieval.
키워드
Intussusception;Lipoma;Laparoscopy
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