Late postoperative adult intussusception without tumor related cause: an alternative option in management

 
This item is provided by the institution :

Repository :
Annals of Gastroenterology
see the original item page
in the repository's web site and access all digital files if the item*
share




2007 (EN)

Late postoperative adult intussusception without tumor related cause: an alternative option in management (EN)

Soufleris, K.
Pilpilidis, I.
Gatopoulou, Anthia
Katsos, I.
Tarpagos, A.

Introduction and Aims: To present a case of late postoperative bowel obstruction with uncommon etiology, that was successfully reduced during endoscopy. Description of a case: We report a case of a 63 year-old man presenting with failure to pass flatus and stool for two days. The patient underwent partial left hemicolectomy due to cancer of the sigmoid colon 5 years ago and an emergency transverse colostomy was performed 2 years ago due to bowel obstruction (megacolon). Six months after colostomy, a diagnostic colonoscopy was performed which revealed a fibrotic stenosis at the site of anastomosis that was corrected performing balloon dilatation. Restoration surgery with closure of colostomy was decided since abdominal computed tomography and laboratory tests confirmed the absence of cancer recurrence. A preoperative control colonoscopy identified a coil-spring polypoid mass with normal mucosa at the level of anastomosis. There was no sign of ischemia and mucosal fold intussusception was suspected. A reduction with balloon dilatation was performed successfully during colonoscopy. After reduction, the anastomosis was revealed with normal appearance of mucosa and the bowel function was corrected. Biopsies taken of the lead point of the obstructive mass confirmed the presence of intestinal mucosa. Mucosal fold intussusception is a rare cause of postoperative bowel obstruction at the site of anastomosis. In these cases, endoscopic balloon dilatation could be proved safe and efficient, avoiding a potentially unnecessary bowel resection. Key words: Adult intussusception, management (EN)

info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion


English

2007-04-12


Hellenic Society of Gastroenterology (EN)

1792-7463
1108-7471
Annals of Gastroenterology; Volume 19, No 4 (2006) (EN)




*Institutions are responsible for keeping their URLs functional (digital file, item page in repository site)