A Case of Superior Mesenteric Artery Syndrome Developed after Surgery for Young-onset Descending Colon Cancer with Intussusception

Abstract

A 29-year-old woman was diagnosed with descending colon intussusception caused by descending colon cancer ; therefore, we performed an urgent laparoscopic left hemicolectomy with D3 dissection. Adhesive intestinal obstruction developed early in the postoperative period, and we performed another laparoscopic surgery on postoperative day 12. On the 13th day after the reoperation, an abdominal enhanced computed tomography revealed superior mesenteric artery syndrome. Conservative treatments such as decompression and enteral nutrition with a double elementary diet (W-ED) tube were initiated ; however, no symptomatic remission was achieved, and we performed laparoscopic duodenal jejunostomy on the 62nd day after the reoperation. The postoperative course was uneventful and the patient was discharged on the 9th day after the last operation. We report a case of intussusception caused by young-onset descending colon cancer followed by postoperative superior mesenteric artery syndrome treated by laparoscopic surgery, along with a review of the literature.