Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
Online ISSN : 1882-5133
Print ISSN : 1345-2843
ISSN-L : 1345-2843
Case Reports
A case of small intestinal intussusception caused by choristoma treated by single-incision laparoscopy-assisted surgery
Daisuke YAMADASatoshi NIMURAYuusuke WATANABEKiichirou KOBAYASHIShinichirou RYU
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2012 Volume 73 Issue 12 Pages 3172-3176

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Abstract
A 28-year-old woman was admitted to a local clinic after suffering from postprandial abdominal pain and fever. Ultra-sonography indicated an intra-abdominal cystic mass. She was referred to our hospital for exploration and treatment. On admission, she had no abdominal pain or tenderness. Serum CRP was slightly elevated in a blood test. Enhanced computed tomography showed small intestinal intussusceptions caused by a multiple cystic mass, and dilatation of the upward intestine. She underwent single-incision laparoscopic surgery (SILS). Reduction of the intussusception was performed intracorporeally. Partial resection of the small intestine and subsequent anastomosis was performed extracorporeally through the incision. Histopathological examination demonstrated choristoma of the small intestine. There has never been a report about choristoma of the small intestine. This is the first case of small intestinal intussusception caused by choristoma, and treated by single-incision laparoscopic surgery. This case is presented together with a review of the literature.
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© 2012 Japan Surgical Association
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