Laparoscopic Treatment of Ileocecal Intussusception Caused by Primary Ileal Lymphoma

Chong Chi Chiu, Po Li Wei, Ming Te Huang, Weu Wang, Tai Chi Chen, Wei Jei Lee

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Intussusception seldom occurs naturally in adults, but is frequently found due to an underlying disease. We present the case of a 46-year-old man with the chief complaint of repeated abdominal cramping pain, especially in the right lower quadrant, and diarrhea of 1 year's duration. Abdominal sonography and computed tomography showed ileocecal intussusception, and colonoscopy found one protruding tumor at the cecum. Biopsy of the tumor revealed malignant lymphoma cells. Due to persistent symptoms, fear of intestine obstruction caused by further intussusception, and the possibility of mesenteric vascular compression, the patient underwent laparoscopic right hemicolectomy before systemic chemotherapy. The symptoms were relieved successfully after surgery. We emphasize that the majority of adults with intussusception may have an underlying malignancy. The most important rule in treatment is avoidance of tumor emboli spread during manipulation. Therefore, a trial of reduction of the intussuscepted intestine should be prohibited.

Original languageEnglish
Pages (from-to)93-95
Number of pages3
JournalSurgical Laparoscopy, Endoscopy and Percutaneous Techniques
Volume14
Issue number2
Publication statusPublished - Apr 2004
Externally publishedYes

Fingerprint

Intussusception
Lymphoma
Intestines
Neoplasms
Cecum
Colonoscopy
Therapeutics
Embolism
Abdominal Pain
Fear
Blood Vessels
Diarrhea
Ultrasonography
Tomography
Biopsy
Drug Therapy

Keywords

  • Ileal lymphoma
  • Intussusception

ASJC Scopus subject areas

  • Surgery

Cite this

Laparoscopic Treatment of Ileocecal Intussusception Caused by Primary Ileal Lymphoma. / Chiu, Chong Chi; Wei, Po Li; Huang, Ming Te; Wang, Weu; Chen, Tai Chi; Lee, Wei Jei.

In: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques, Vol. 14, No. 2, 04.2004, p. 93-95.

Research output: Contribution to journalArticle

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