Japanese

A case of adult rectal intussusception caused by sigmoid colon cancer resected after reduction by combined transanal and laparoscopic approach Toshio SHIRAISHI 1 , Tetsuro TOMINAGA 1 , Takashi NONAKA 1 , Naoe KINOSHITA 2 , Terumitsu SAWAI 3 , Takeshi NAGAYASU 1 1Division of Surgical Oncology, Department of Surgery, Nagasaki University Graduate School of Biomedical science 2Division of Surgical Oncology, Department of Surgery, Nagasaki University Graduate School of pathology 3Nagasaki University School of Health Sciences Keyword: 直腸重積 , 整復 , 腹腔鏡下手術 pp.379-384
Published Date 2018/5/15
DOI https://doi.org/10.11477/mf.4426200564
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A woman in her sixties visited a local clinic with a chief complaint of constipation and bloody stool. She was referred to our department with suspected rectal intussusception based on the findings of an abdominal computed tomography (CT) scan. Detailed examination confirmed the diagnosis of rectal intussusception caused by sigmoid colon cancer. Although closed reduction was attempted, due to its difficulty, surgical operation was performed. A combined transanal and laparoscopic approach was used as the intraoperative reduction procedure. Laparoscopic Hartmann's procedure was performed as severe intestinal edema at the site of intussusception was observed. The patient was discharged with a good postoperative course and approximately 3 months after discharge colostomy closure was performed. A combined transanal and laparoscopic approach was effective in reducting the rectal intussusception caused by sigmoid colon cancer. Reduction enabled a laparoscopic radical operation and preservation of anal function.


Copyright © 2018, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.

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電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会

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