J Minim Invasive Surg.  2020 Sep;23(3):149-151. 10.7602/jmis.2020.23.3.149.

Laparoscopic Treatment of Colonic Intussusception Caused by Sigmoid Colon Cancer

  • 1Department of Surgery, Nowon Eulji University Hospital, Eulji University College of Medicine, Seoul, Korea


Reports on the laparoscopic treatment for colonic intussusception are exceedingly rare. We report a case of colonic intussusception caused by sigmoid colon cancer which was treated with a laparoscopic approach. A 76-year-old man visited an emergency room with the chief complaint of lower abdominal pain. He was diagnosed with colonic intussusception probably due to sigmoid colon cancer on a CT scan. Upon laparoscopic exploration, sigmoid colon intussusception was noted. Manual reduction was impossible because the colonic walls were friable and due to the possibility of a cancerous leading point. Therefore, the bowel was resected with en bloc Hartmann procedure. Pathology of the resected specimen revealed a tumor measuring 4.5 cm in size and comprising moderately differentiated adenocarcinoma (pT3N0M0, pStage II). The patient's postoperative course was uneventful and was discharged on the 8th day after surgery.


Intussusception; Laparoscopy; Colon cancer
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