Intussusception in an Adult Caused by a Mobile Cecum Treated by Laparoscopic Reduction and Cecopexy: A Case Report

Abstract

An 18–year–old woman was admitted to our hospital with right lower abdominal pain of increasing severity and signs of peritoneal irritation. Abdominal computed tomography revealed ileocecal intussusception, necessitating emergency surgery. Laparoscopic exploration revealed the ileum, cecum and appendix intussuscepted into the ascending colon, and reduction (Hutchinson procedure) was performed. No obvious tumorous lesions were observed in the intestinal tract, and we diagnosed the case as a case of intussusception caused by a mobile cecum. We performed cecopexy without intestinal resection, because the intussusception was not secondary to a neoplasm, and no intestinal ischemia was observed. She did not report any of her symptoms, and colonoscopy and abdominal computed tomography showed no abnormalities. She has had no recurrence until now, 10 months after the surgery. Intussusception in adults is often caused by organic conditions such as tumor, and resection of the affected segment of the bowel is often required. We report a case of intussusception in an adult caused by a mobile cecum. This condition was successfully treated by a minimally invasive procedure, namely, laparoscopic reduction and cecopexy.