A Case of Intussuscepted Cecal Lipoma Treated by Laparoscopy-assisted Surgery

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  • Maeda T.
    Department of Surgery, Kyoto Prefectural Yosanoumi Hospital
  • Taniguchi H.
    Department of Surgery, Kyoto Prefectural Yosanoumi Hospital
  • Amaike H.
    Department of Surgery, Kyoto Prefectural Yosanoumi Hospital
  • Fuji N.
    Department of Surgery, Kyoto Prefectural Yosanoumi Hospital
  • Naito K.
    Department of Surgery, Kyoto Prefectural Yosanoumi Hospital

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  • 盲腸脂肪腫による腸重積に対し腹腔鏡補助下回盲部切除を施行した１例

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Abstract

We report a case of intussuscepted cecal lipoma that was treated by laparoscopy-assisted partial ileoce-cal resection. A 73-year-old man with lower abdominal pain was admitted to our hospital. Abdominal computed tomography suggested cecal intussusception caused by a lipoma of the cecum. The intussusception was successfully reduced by barium enema, and ileocecal resection was then performed using laparoscopy-assisted surgery. The tumor origin was just after the Bauhin's valve. The resected specimen revealed a 58×47×72mm submucosal tumor, which was diagnosed histopathologically as a lipogenic tumor suspected to be a highly differentiated liposarcoma of borderline malignancy. Our experience suggests that laparoscopy-assisted surgery is preferable to open surgery in patients with highly differentiated liposarcoma, since the tumor can be treated less invasively.

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