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 an 18-year-old Patient with Intussusception due to Lymphoid Hyperplasia who Underwent Successful Ileocecal Resection
Ryota ITO, Takashi ITO, Tatsuki KUSUHARA, Teruhiro CHOHNO, Hiroki MATSUOKA, Takamasa OHNISHI
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2021 Volume 82 Issue 9 Pages 1694-1698

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Abstract

An 18-year-old man initially presented to a clinic with chief complaints of right lower abdominal pain and diarrhea. He was then referred to our hospital for suspected appendicitis. On admission, abdominal computed tomography showed ileocecal intussusception, and a laparoscopic ileocecal resection was performed. Intraoperative findings showed an invasion of the terminal ileum and cecum into the ascending colon. Macroscopically, several small nodules were found on the lumen of the ileocecal valve. In addition, the wall of the cecum was thickened and the surrounding lymph nodes were swollen. On histopathological assessment, there was proliferation of lymphoid follicles in the ileocecal mucosa. Thus, the diagnosis of intussusception due to lymphoid hyperplasia (LH) was made.

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