Laparoscopic-assisted Resection of Intestinal Cancer after Successful Reduction of Intussusception Using the Balloon of a Nasal Ileus Tube

Abstract

Abdominal CT of an 81-year-old woman who was followed up for autoimmune hepatitis revealed intussusception of the jejunum. Because symptoms of peritonitis and intestinal tract necrosis were absent, we reduced the intussusception using the balloon of an inserted nasal ileus tube. However, abdominal CT 3 days later suspected recurrent intussusception and laparoscopic-assisted surgery proceeded as follows. We could not recognize a mass around the intussusceptions of the jejunum by palpation using the laparoscopic forceps. However, the palpation using our hands indicated a mass in the jejunum which was guided to the outside from a small incision, so the small intestine was partially resected. The mass was histopathologically diagnosed as cancer in adenoma. To the best of our knowledge, this is the first successful reduction of intestinal intussusception using the balloon of a nasal ileus tube. This case suggested that it may be one of the treatment plan to try non-invasive reduction first for the intestinal intussusceptions. Furthermore, laparoscopic-assisted surgery for intussusception is minimally invasive, esthetically acceptable and allows radical and safe tumor resection.