scholarly journals A Case Report of Intussusception Caused by an Inflammatory Fibroid Polyp of the Small Intestine Treated by Single-Incision Laparoscopic Surgery

Author(s):  
Fumi Maeda ◽  
Takeshi Ohki ◽  
Shinpei Ogawa ◽  
Yuji Inoue ◽  
Tomoko Yamamoto ◽  
...  
2015 ◽  
Vol 100 (5) ◽  
pp. 920-923 ◽  
Author(s):  
Koichiro Mori ◽  
Yuhki Koike ◽  
Mikihiro Inoue ◽  
Kohei Ohtake ◽  
Koji Tanaka ◽  
...  

We describe here a child with angiodysplasia of the small intestine, diagnosed by double-balloon endoscopy (DBE), who was treated with transumbilical single-incision laparoscopic surgery (T-SILS). A 9-year-old boy presented to another hospital with intermittent fresh melena of a duration of 5 months and 4 days. Anoscopy and gastric mucosal membrane scintigraphy were unsuccessful diagnostically, and he was referred to our hospital for further examination and treatment. Under general anesthesia, we performed DBE by an anal route, with the ileum assessed for a distance of about 150 cm from the ileocecal valve. Although no bleeding lesion was found in the colon, a flat elevated venous lake approximately 20 mm in size was observed 20 cm from the ileocecal valve, suggesting angiodysplasia of the small intestine. A tattoo was made under DBE, and wedge resection by T-SILS was performed 1 month later under general anesthesia. The excised specimen appeared as a flat, elevated venous lake approximately 20 mm in size. Histopathologic analysis revealed several dilated and distorted veins within the submucosa of the small intestine. The patient was diagnosed with angiodysplasia of the small intestine. His postoperative course was uneventful, and he remained free of recurrent gastrointestinal bleeding 18 months after the operation. This is the first case report showing the diagnosis, localization, and tattooing of an obscure gastrointestinal bleeding lesion of the small intestine by preoperative DBE and removal of the lesion by subsequent T-SILS in children.


2009 ◽  
Vol 5 (3) ◽  
pp. 362-364 ◽  
Author(s):  
Sarah C. Oltmann ◽  
Homero Rivas ◽  
Esteban Varela ◽  
Mouza T. Goova ◽  
Daniel J. Scott

2016 ◽  
Vol 89 (1) ◽  
pp. 96-97
Author(s):  
Norimasa Matsushita ◽  
Shunichi Ito ◽  
Yasuhiro Sudo ◽  
Takeshi Kubota ◽  
Makoto Saegusa ◽  
...  

Author(s):  
Nikola Ivaniš ◽  
Vera Tomas ◽  
Luka Vranić ◽  
Franjo Lovasić ◽  
Viktor Ivaniš ◽  
...  

Aim: Starting from a case presentation, this review aims to present literature data on inflammatory fibroid polyps (IFPs) of the small intestine. Methods: Case report and systematic review. A comprehensive systematic review of English literature using PubMed was conducted, based on Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The used key words were: “inflammatory fibroid polyp” or “Vanek”, including only cases with IFPs localized of the small intestine, published from 1976 to 2019. Results: We present a case of a 38-year old patient with intestinal IFP presenting with acute abdomen due to intussusception diagnosed with ultrasound (US) based on a target sign and visible solid tumor in the small intestine leading to prompt surgical treatment. A diagnosis of IFP was made based on the pathohistological findings. Moreover, a systematic review of small intestine IFPs was conducted which is, to our knowledge, the first comprehensive systematic literature review on this topic. The analysis included 53 case reports or case series concerning 77 cases of small bowel IFPs. The patients were aged from 4 to 75 years (average 45.2), with a female predominance (59.7%). The most common localization was the ileum in 77.9% cases, followed by the jejunum (13%) and the duodenum (6.5%). The most common clinical presentation was abdominal pain due to intussusception (63.6%). Regarding diagnostic methods, computed tomography (CT) was frequently used as primary diagnostic method (26%) followed by exploratory laparotomy (16.9%), endoscopy (7.8%) and US (6.5%). Combination of US and CT contributed to the diagnosis in 9.1% of cases. The majority of cases were treated surgically (92.21%), while only a minority benefited of minimally invasive techniques such as endoscopy. Conclusions: Small bowel IFPs, ones of the least common benign tumors, are characterized by variable clinical signs and symptoms and can potentially lead to serious consequences for the patient.


2004 ◽  
Vol 49 (10) ◽  
pp. 1677-1680 ◽  
Author(s):  
Dimitrios Bays ◽  
George K. Anagnostopoulos ◽  
Elias Katsaounos ◽  
Panagiotis Filis ◽  
Spyridon Missas

2011 ◽  
Vol 72 (6) ◽  
pp. 1465-1469 ◽  
Author(s):  
Yosuke TAJIMA ◽  
Tsuneo IIAI ◽  
Hitoshi NOGAMI ◽  
Hitoshi KAMEYAMA ◽  
Yoshihumi SHIMADA ◽  
...  

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