Small Bowel Obstruction Caused by Ileal Endometriosis with Appendiceal and Lymph Node Involvement Treated with Single-Incision Laparoscopic Surgery: A Case Report and Review of the Literature

We herein report a 66-year-old female patient who developed an undiagnosed small bowel obstruction without a history of prior abdominal surgery and was successfully treated by single-incision laparoscopic surgery. A small bowel obstruction with unknown cause typically requires some sort of surgical treatment in parallel with a definitive diagnosis. Although open abdominal surgery has been generally performed for the treatment of small bowel obstructions, laparoscopic surgery for small bowel obstructions has been increasing in popularity due to its less invasiveness, including fewer postoperative complications and a shorter hospital stay. As a much less invasive therapeutic strategy, we have performed single-incision laparoscopic surgery for the treatment of an undiagnosed small bowel obstruction. We were able to make a definitive diagnosis after sufficient intra-abdominal inspection and to perform enterotomy through a small umbilical incision. Single-incision laparoscopic surgery appears to be comparable to conventional laparoscopic surgery and provides improved cosmesis, although it is an optional strategy only applicable to selected patients.

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Single-incision assisted laparoscopic surgery (SILS) in the treatment of an intussusception induced by a solitary hamartomatous polyp: a case report and review of the literature

Journal of Medical Case Reports ◽

10.1186/s13256-015-0606-8 ◽

2015 ◽

Vol 9 (1) ◽

Cited By ~ 6

Author(s):

Michael Pitiakoudis ◽

Konstantinos Romanidis ◽

Alexandra Giatromanolaki ◽

Nikos Courcoutsakis ◽

Eleni-Aikaterini Nagorni ◽

...

Keyword(s):

Case Report ◽

Laparoscopic Surgery ◽

Single Incision ◽

Hamartomatous Polyp ◽

Review Of The Literature

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Small Intestine: Adenocarcinoma

10.2310/7800.16092 ◽

2017 ◽

Author(s):

Joel M Baumgartner ◽

Sudeep Banerjee ◽

Jason K Sicklick

Keyword(s):

Lymph Node ◽

Small Bowel ◽

Systemic Chemotherapy ◽

Imaging Techniques ◽

Distant Metastases ◽

Lymph Node Involvement ◽

Small Bowel Adenocarcinoma ◽

Stage Disease ◽

Node Involvement ◽

Inflammatory Bowel

Adenocarcinoma is the second most common nonduodenal small bowel tumor. Small bowel adenocarcinoma has risk factors similar to those of colorectal adenocarcinoma but is rarer and less well understood. Diagnosis relies on advanced imaging techniques as well as endoscopy or enteroscopy for tissue diagnosis. Aggressive biology and vague symptoms in early disease cause a majority of patients to present with late-stage disease. Adenocarcinomas with lymph node involvement should be treated with resection and systemic chemotherapy. In contrast, systemic chemotherapy alone should be employed in cases with distant metastases unless the primary tumor is bleeding, perforated, or causing a bowel obstruction. This review contains 4 figures, 5 tables and 17 references Key words: adenocarcinoma, chemotherapy, enteroscopy, hereditary syndrome, inflammatory bowel disease, lymph node, mesentery, small bowel

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