腸重積をきたした横行結腸脂肪腫に対して腹腔鏡下手術を施行した1例

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  • A CASE OF LAPAROSCOPIC RESECTION OF A LIPOMA OF THE TRANSVERSE COLON PRESENTING WITH INTUSSUSCEPTION IN AN ADULT

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We report an adult case of lipoma presenting with intussusception of the transvers colon which was treated with radiologic reduction followed by laparoscopiy-assisted resection. A 20-year-old woman was admitted to the hospital because of abdominal pain. Abdominal computed tomography and sonography revealed intussusception caused by a lipoma of the transverse colon. Reduction with a contrast enema was performed immediately. On the ninth day after the reduction, laparoscopy-assisted colectomy was performed with a small skin incision with the length of 4cm. The patient was very satisfied with her small wound, Open surgery has been commonly performed for adult intussusception caused by a lipoma of the colon, but the laparoscopic procedure after reduction is preferable from the view point of the patient's quality of life.

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