Nihon Fukubu Kyukyu Igakkai Zasshi (Journal of Abdominal Emergency Medicine)
Online ISSN : 1882-4781
Print ISSN : 1340-2242
ISSN-L : 1340-2242
A Case of Idiopathic Colocolic Intussusception in an Adult
Hideki ShibataMasahiko MurakamiKoji OtsukaKimiyasu YamazakiSatoru GotoAkira FujimoriMakoto WatanabeTakashi NiiyaTakeshi Aoki
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2016 Volume 36 Issue 1 Pages 133-137

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Abstract
A 31-year-old man was admitted to our hospital with abdominal pain. Abdominal CT imaging showed a “target sign” in the transverse colon, the patient was thus diagnosed as having an intussusception, and an emergency operation was performed. Intraabdominal reference with the laparoscope demonstrated the colocolic type of intussusception in the transverse colon. Because laparoscopic reduction was difficult to achieve, we performed a manual reduction under laparotomy. After manual reduction, the absence of organic disorders in the invaginated colon was confirmed. A partial resection of the colon mucosa which formed the intussusception was performed. The postoperative course was uneventful and the patient was discharged on the 9th postoperative day. Pathological examination of the resected mucosa specimen revealed evidence of an inflammatory infiltrate with some erosion. Since idiopathic intussusception in an adult is rare, we report herein on this case with a review of the relevant literature.
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© 2014, Japanese Society for Abdominal Emargency Medicine
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