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Year : 2022  |  Volume : 5  |  Issue : 2  |  Page : 30-32

Laparoscopic right hemicolectomy for 13 cm ileo ascending intussusception in a young female

Department of Minimal Access, Bariatric and GI Surgery, Neotia Hospital, Siliguri, West Bengal, India

Correspondence Address:
Dr. Bijendra Kumar Sinha
Department of Minimal Access, Bariatric and GI Surgery, Neotia Hospital, Siliguri, West Bengal
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijcs.ijcs_16_21

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Intussusception is relatively common in children in comparison to adult. Only 1% of adult shows symptoms of bowel obstruction, in which most of the cases, malignancy is responsible. Herein, I present an extremely unusual case of intussusception that occurred in a young female who had gangrenous ileum inside the ascending colon with multiple enlarged lymph nodes around the terminal ileum. A 32-year-old female patient was diagnosed with the 13 cm ileo ascending intussusception with the complaint of not passing flatus and motion, severe pain abdomen, and vomiting for 3 days. Abdomen was distended. She had mild pain abdomen for 3 months. Computed tomography scan revealed 13 cm intussusception of ileo ascending. Laparoscopic right hemicolectomy was performed and revealed dense adhesion at the ileum and ascending region with gross dilatation of the ileum. No neoplastic lesions were observed in the resected tissue of the lead part of intussusception. The postoperative clinical course was favorable and the patient was discharged on day 6 after surgery. There are no reports of 13 cm intussusception as observed in the present case. Intussusception should thus be considered as one of the causes due to multiple lymph nodes in adults also.

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