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UNUSUAL CASE
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Ileocolic invagination in adults: A totally minimally invasive endoscopic and laparoscopic staged approach


1 Department of General Surgery, Poliambulanza Foundation Hospital, Brescia, Italy
2 Department of General Surgery, University of Genoa, San Martino Hospital, Genova, Italy
3 Department of Radiology, Poliambulanza Foundation Hospital, Brescia, Italy
4 Department of Digestive Endoscopy Unit, Poliambulanza Foundation Hospital, Brescia, Italy

Correspondence Address:
Elio Treppiedi,
Department of General Surgery, Poliambulanza Foundation Hospital, Brescia 25124
Italy
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jmas.JMAS_279_18

PMID: 30777993

Adult intussusception of the bowel is a rare clinical entity, and its management remains debated. The timing of treatment is not yet standardised, and no guidelines exist. We report a case of an 83-year-old woman presenting to the emergency department of our hospital with a history of increasing abdominal pain in the right iliac fossa. A contrast-enhanced computed tomography scan showed the presence of a large ileocolic intussusception with evidence of the terminal ileus invaginated within the right colon and the ileocolic vessels dragged and trapped into the intussusception. A colonoscopy confirmed the ileocolic invagination with a large right colonic lesion as leading point, and a partial pneumatic (carbon dioxide) and hydrostatic reduction was achieved. Subsequent laparoscopic right colectomy was performed according to oncological principles. A totally minimally invasive approach of this rare condition has been achieved but the literature lacks about the correct management of this entity.


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    -  Treppiedi E
    -  Cocchi L
    -  Zimmitti G
    -  Manzoni A
    -  Seletti V
    -  Bizzotto A
    -  Spada C
    -  Garatti M
    -  Rosso E
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2004 Journal of Minimal Access Surgery
Published by Wolters Kluwer - Medknow
Online since 15th August '04