Abstract
A 29-year-old woman presented with abdominal pain. We diagnosed the case as intussusception due to small bowel tumors and performed emergency laparoscopic surgery with partial resection of the jejunum including the tumor. Histopathological findings showed that the tumors were hamartomatous polyps, and we made the diagnosis of Peutz-Jeghers syndrome. On the 50th postoperative day, she visited our emergency room complaining of abdominal pain. Computed tomography showed intussusception of the upper jejunum, and we performed an emergency laparoscopic operation. After reduction of intussusception, we found that the lead point was the anastomotic region of the previous surgery, and the intussusceptive bowel showed neither ischemia nor necrosis. We fixed the site of previous anastomosis to the left abdominal wall to prevent recurrence of intussusception. Postoperative double-balloon enteroscopy revealed no polyps in the upper jejunum. The patient had an uneventful recovery, and is doing well as of 4 years after the surgery, with no recurrence of intussusception or intestinal obstruction.
Intussusception of the end-to-end anastomotic region as the lead point is extremely rare ; we review and discuss the Japanese literature on this rare disease.
