A Case of Inflammatory Fibroid Polyp of the Small Intestine with Intussusception Reduced by Single Port Laparoscopic Surgery

Abstract

The patient, a 69-year-old woman, was brought to the hospital by ambulance complaining of abdominal pain and vomiting for the previous 8 hours. Abdominal CT showed the target sign and dilatation of the proximal intestine. Based on the findings, we diagnosed the patient as having ileus caused by an intestinal calculus, and performed emergency surgery. A single port laparoscopic surgery was performed, and intraperitoneal observation revealed piled-up intestine in the jejunum. After repair was performed using the Hutchinson technique with atraumatic intestinal forceps, we found a mass lesion in the advanced part of the intestine. The small intestine was pulled out through a small incision wound, and partial resection of the small intestinal segment containing the mass was performed. Histopathological examination revealed an inflammatory fibroid polyp (IFP). In this study, we report on the results of safe laparoscopic surgery performed using the single hole technique, with a review of the literature.