A case of intussusception caused by simple small intestinal ulcer in which laparoscopy assisted surgery was useful

Abstract

A 51-year-old man was admitted to the hospital because of abdominal pain and nausea. Laboratory data on admission revealed a slight increase in the white blood cell count. Abdominal CT scan showed a target like sign, and intussusception was suggested. Because he showed a slight degree of inflammation and had no symptoms of peritonitis, we gave an antibiotics and observed the condition of the patient. On the next day, the abdominal pain disappeared and the leukocytosis was relieved. Abdominal CT scan on the same day did not visualize intussusception, and showed a tumor like lesion in the small intestine. We diagnosed it as small intestine tumor and performed laparoscopy-assisted operation on the 3rd hospital day. Operative findings included dilatation about 40 cm in diameter and redness at the lower jejunum. Partial resection of the small intestine including the redness lesion was performed. The resected specimen showed two simple ulcers of Ul-III.
This time, we report the case in which we perfomed the laparoscopy-assisted surgery for intussusception caused by simple small intestinal ulcer and got a good result.