Abstract
A 29-year-old woman visited our hospital complaining of periumbilical pain. Abdominal contrast-enhanced computed tomography revealed intussusception. During enema, the intussusception was reduced, and a neoplastic lesion (approximate diameter, 3 cm) was revealed on the side contralateral to the Bauhin valve. Surgical treatment was considered because of intussusception relapse on the following day and a suspected neoplastic lesion in the cecum. Laparoscopic surgery was performed. Bacause observation from the serosal side and palpation with forceps did not allow the surgeon to determine whether the lesion was neoplastic, the ileocecum was resected. Pathological examination revealed no evidence of parenchymal disease ; therefore, a diagnosis of adult idiopathic intussusception was made. In this case, we limited our intervention to careful observation because of the two-stage operation and avoided bowel resection because parenchymal lesion was excluded based on postoperative lower gastrointestinal endoscopy.
