2019 Volume 39 Issue 3 Pages 605-608
The occurrence rate of intussusception in adults is lower compared to that in children. In most cases, the presenting part is complicated with organic diseases and often requires surgery. In this study, we report on a case of intussusception with an introverted Meckel diverticulum as the presenting part, on which we carried out laparo-endoscopic single-site surgery using a ZigZag incision. The patient was a 31-year-old male. He presented with a chief complaint of abdominal pain. After detailed evaluations, a diagnosis of intussusception of the small intestine was made and endoscopic reduction was performed on the same day, followed by elective surgery. A ZigZag incision was made in the umbilical region, upon which a telescoped bowel was identified under laparscopic view and removed from the body. Reduction was performed using the Hutchinson procedure. Upon finding a tumor in the presenting part, a portion of the small intestine was resected. From the pathological examination findings, the presenting part was diagnosed as demonstrating Meckel diverticulum. In recent years, there have been increasing reports on surgery under laparoscopic views for introverted Meckel diverticulum. Laparoendoscopic single-site surgery with a ZigZag incision is therefore considered to be an excellent technique in terms of operability and esthetic outcome.
