A Case of Cecal Lymphangioma with Intussusception That Was Successfully Resected by Laparoscopy-assisted Partial Cecal Resection

Abstract

The patient was a 25-year-old woman who visited the hospital complaining of right flank pain. Abdominal CT revealed ileocecal intussusception, and she was emergently admitted. A cystic lesion was found at the leading edge of the intussusception, located at the orifice of the transverse colon. On the second day of hospitalization, reduction was performed using a lower gastrointestinal endoscope under fluoroscopic guidance. The surface of the tumor was smooth and elastic, and the tumor was found to be a submucosal tumor covered by normal mucosa. On the fourth day, abdominal CT revealed recurrence of the intussusception, and emergency surgery was performed. Laparoscopic observation revealed ileocecal intussusception extending to the transverse colon, which was reduced intraoperatively using the laparoscopic Hutchinson procedure. The lesion was guided outside the body through a small umbilical laparotomy incision, and the location of the lesion was confirmed through intestinal incision. After confirming the distance from the ileocecal valve, the lesion was excised en bloc by partial cecectomy from the mucosal side. Based on the histopathological findings, the tumor was diagnosed as a lymphangioma. In our case, we performed laparoscopically assisted partial cecectomy by reducing the intussusception during surgery, confirming the location of the tumor from the mucosal side through intestinal incision, and resecting the tumor.