2010 Volume 35 Issue 1 Pages 61-65
A asymptomatic 85–year–old woman found to have anemia elsewhere in June 2007 was found in computed tomography (CT) to have a target sign in the ascending colon. Barium enema showed a filling defect in the hepatic flexsure and colonoscopy an elevated lesion in the lumen. Intussusception was reduced by air injection and she was admitted for intussusception due to the ileocecal tumor. In laparoscopy–assisted ileocecal resection with lymph node dissection, the ileocecal region was found invaginated into the ascending colon, although this was easily reduced by minimal terminal ileum traction. Pathological findings showed well–differenciated adenocarcinoma invading the subserosa. Most adult intussusception is caused by neoplastic lesions and often require emergency surgery, but a few are treated by laparoscopy–assisted surgery. We reviewed 7 such cases in the Japanese literature, including our own, treated by laparoscopy–assisted surgery.
