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 Endoscopic Reduction of Idiopathic Intussusception in an Adult
Yasuhiko YOKOYAMAYoshio YAMAMOTOTakashi SATOYuichi NAKASHIMAMaromi TACHIBANAMasaaki UCHIDA
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2015 Volume 76 Issue 6 Pages 1413-1416

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Abstract
A 46-year-old woman presented to the emergency clinic in our hospital because of intermittent lower abdominal pain. There were tenderness, rebound tenderness, and muscle guarding localized in the right lower quadrant of abdomen. An abdominal contrast-enhanced CT scan showed a tumor shadow in a laminar structure in the ascending colon. Accordingly intussusception was diagnosed. There was no ascites and no prominent tumorous lesions were revealed. The intussusception was reduced by using a colonoscope that resulted in prompt disappearance of abdominal symptoms. Thereafter close exploration showed no intestinal organic disorders which might cause intussusception. Idiopathic intussusception was thus diagnosed. The patient has been followed in the outpatient clinic without having recurrence for 6 months. As idiopathic intussusception in adult reduced endoscopically has rarely been reported, the case is presented here together with review of the literature.
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© 2015 Japan Surgical Association
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