Gao Qing, Yuan Shuo, Li Yang, Chen Chao, Liu Xiaosun, Yu Jiren
Department of Gastrointestinal Surgery, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Department of Gastrointestinal Surgery, Mingzhou Hospital, Zhejiang University, Ningbo, China.
Front Surg. 2021 Jun 21;8:647767. doi: 10.3389/fsurg.2021.647767. eCollection 2021.
Adult intussusception during the perioperative period is defined as an extremely rare condition, especially when it emerges within short intervals of laparotomy, which may be explained as an unphysiological peristaltic function of the bowel without any lead points. Accurate diagnosis and therapeutic schedule predict a satisfactory outcome. Here, we introduce the case of a 32-year-old man who had symptoms of abdominal pain, no gas emission, and defecation shortly after liver transplantation. Intussusception was definitely diagnosed by abdominal CT, and then reduction was operated successfully by three-dimensional laparoscopy-assisted operation. There were no other complaints, and no secondary lesions were detected during the postoperative rehabilitation process in the hospital and over a follow-up period of 6 months. Relevant literature has been summarized subsequently. A promising minimally invasive surgery along with minimal secondary trauma was presented by laparoscopy in this rare case, providing the potential remedy for perioperative intussusception in the adult.
围手术期成人肠套叠被定义为一种极其罕见的病症,尤其是在剖腹手术后短时间内出现时,这可能被解释为肠道无生理蠕动功能且无任何引导点。准确的诊断和治疗方案可预测出令人满意的结果。在此,我们介绍一例32岁男性患者的病例,该患者在肝移植后不久出现腹痛、无排气及排便症状。腹部CT明确诊断为肠套叠,随后通过三维腹腔镜辅助手术成功实施复位。术后康复过程中在医院及6个月的随访期内均无其他不适主诉,也未发现继发性病变。随后对相关文献进行了总结。腹腔镜手术在这一罕见病例中展现出了有前景的微创手术方式以及最小的继发性创伤,为成人围手术期肠套叠提供了潜在的治疗方法。