A Case with Intussusception of a Stump of Linear Stapler

Abstract

We report postoperative intussusception caused by the head portion of a linear stapler used in partial excision of the cecum. A 56-year-old man admitted for ileus due to sigmoid colon cancer underwent tube cecostomy to reduce intestinal pressure, followed by sigmoidectomy and closure of cecostomy. The cecum was partially ex-cised by a linear stapler and the cecostomy was closed. The patient experienced intermittent abdominal pain on 4th post operative day (POD), and a fist-sized mass was palpated in the upper right abdomen. The linear stapler used for stumps of the partial excision of the cecum was found to be incarcerated into middle trans-verse colon and the emergency operation was carried out. At laparotomy, the head portion showed cicatrized stumps with the linear stapler forming a 7cm mass, therefore we performed ileocecal resection under the con-sideration of the recurrence. In this case, dilatation of caliber difference of the ileocecal area which formed by ileus, oversewing cecal stump and mobility of cecum which induced by manipulation of closure of cecostomy likely caused the intussusception.