Abstract
Adult intussusception during the perioperative period is defined as an extremely rare condition, especially when it emerges within short intervals of laparotomy, which may be explained as an unphysiological peristaltic function of the bowel without any lead points. Accurate diagnosis and therapeutic schedule predict a satisfactory outcome. Here, we introduce the case of a 32-year-old man who had symptoms of abdominal pain, no gas emission, and defecation shortly after liver transplantation. Intussusception was definitely diagnosed by abdominal CT, and then reduction was operated successfully by three-dimensional laparoscopy-assisted operation. There were no other complaints, and no secondary lesions were detected during the postoperative rehabilitation process in the hospital and over a follow-up period of 6 months. Relevant literature has been summarized subsequently. A promising minimally invasive surgery along with minimal secondary trauma was presented by laparoscopy in this rare case, providing the potential remedy for perioperative intussusception in the adult.
Highlights
Adult intussusception is a rare entity and defined as the invagination of partial intestinal segment into an adjacent segment of the bowel [1]
Adult intussusception hardly presents with a triad of symptoms: acute abdominal pain, hematochezia, and palpable mass, and 70% of all cases are correlated with bowel obstruction, such as abdominal pain, distension, and constipation [3]
In some cases, there are no apparent evidence that any intestinal lesions exist, partial adult intussusceptions are possibly associated with dysfunction of bowel motility among regional segments [1], which is commonly regarded as a more infrequent etiology in published reviews
Summary
Adult intussusception is a rare entity and defined as the invagination of partial intestinal segment into an adjacent segment of the bowel [1]. Laparoscopy-Assisted Operation to Perioperative Intussusception adults has been mentioned below with symptoms of abdominal pain, constipation, and other signs, and 3D laparoscopic surgery was selected to repair the injury of the bowels after excluding any secondary factors. An abdominal CT scan was completed few days later, which disclosed the sign of proximal enterostenosis instead of direct intestinal intussusceptions based on partial air-fluid level (Figure 1A). Conservative treatment, such as insertion of a gastric tube, NPO, and nutrition support was carried out for the 4 days, but somatic complaints have not been visibly alleviated yet. There were no other complaints and positive signs during the follow-up every 2 months for 2 months in total
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