Abstract
Compared with intussusception in children, intussusception in adults is rare and often requires surgical treatments. With a recent progression in laparoscopic surgery, laparoscopic surgery has increasingly employed for the adult-onset intussusception.
A 45-year-old woman complaining of abdominal pain was diagnosed with enteritis following close examinations and had been treated in our outpatient clinic. However, no symptomatic remission was gained and an enhanced abdominal CT scan showed an ileum telescoping into the ascending colon with an ileal tumor at the leading edge of bowel. She was admitted to the hospital and elective surgery to reduce the intussusception by an endoscope was scheduled. On the day before surgery, intussusception occurred again and it was reduced by enteroclysis. On the next day, single port laparoscopic partial ileectomy was performed. The patient was discharged from the hospital on the seventh postoperative day. The histopathological diagnosis was Peutz-Jeghers type polyp. As she had no family history and pigmentation, incomplete type Peutz-Jeghers syndrome was diagnosed. By performing reduction of intussusception followed by elective surgery, we were able to carry out single-port laparoscopic surgery that is less invasive and has a cosmetic merit.
