Skip to main content

Laparoscopic reduction of an ileoileal intussusception and resection of an inverted Meckel’s diverticulum in an adult

Surgical Endoscopy And Other Interventional Techniques volume 17, page 1157 (2003)Cite this article

Abstract

Intussusception occurs commonly in children, but rarely is observed in adults. Whereas the hydrostatic pressure of a contrast enema often proves diagnostic as well as therapeutic in infants and children, resection usually is required for an underlying bowel pathology in older children and adults. Conventionally, the resection is accomplished at laparotomy. We report the case of a 20-year-old woman who presented with diarrhea and vomiting of 1 week duration. She was found unexpectedly to have intussusception on abdominal ultrasonography. The intussusception was laparoscopically reduced, and a segment of the middle small bowel that harbored an inverted Meckel’s diverticulum was resected laparoscopically, after which an intracorporeal anastomosis was fashioned. The ileus resolved on postoperative day 4, and the patient was discharged from hospital on postoperative day 5. The role of the laparoscopic approach in the management of intussusception is discussed.

This is a preview of subscription content, access via your institution.

Access options

Buy single article

Instant access to the full article PDF.

43,34 €

Price includes VAT (Finland)
Tax calculation will be finalised during checkout.

Figure 1
Figure 2

References

  1. WA Bemelman E Hugenholtz HA Heij PH Wiersma H Obertop (1995) ArticleTitleMeckel’s diverticulum in Amsterdam: experience in 136 patients. World J Surg 19 734–737 Occurrence Handle1:STN:280:BymD2MnjsVE%3D Occurrence Handle7571672

    CAS  PubMed  Google Scholar 

  2. KL Chan H Saing WC Peh GH Mya W Cheng PL Khong C Lam WW Lam LL Leong LC Low (1997) ArticleTitleChildhood intussusception: ultrasound-guided Hartmann’s solution hydrostatic reduction or barium enema reduction? J Pediatr Surg 32 3–6 Occurrence Handle1:STN:280:ByiC2szmsFI%3D Occurrence Handle9021555

    CAS  PubMed  Google Scholar 

  3. EG Chekan C Westcott VH Low KA Ludwig (1998) ArticleTitleSmall bowel intussusception and laparoscopy. Surg Laparosc Endosc 8 324–326 Occurrence Handle10.1097/00019509-199808000-00019 Occurrence Handle1:STN:280:DyaK1czmvFagtw%3D%3D Occurrence Handle9703612

    Article  CAS  PubMed  Google Scholar 

  4. G del-Pozo JC Albillos D Tejedor R Calero M Rasero U de-la-Calle U Lopez-Pacheco (1999) ArticleTitleIntussusception in children: current concepts in diagnosis and enema reduction. Radiographics 19 299–319 Occurrence Handle1:STN:280:DyaK1M3htVKrtw%3D%3D Occurrence Handle10194781

    CAS  PubMed  Google Scholar 

  5. OF El-Sherif (1998) ArticleTitleLaparoscopy in the management of an adult case of small bowel intussusception. Surg Laparosc Endosc 8 21–25 Occurrence Handle10.1097/00019509-199802000-00006 Occurrence Handle1:STN:280:DyaK1c7kslyruw%3D%3D Occurrence Handle9488565

    Article  CAS  PubMed  Google Scholar 

  6. DJ Hackam F Saibil S Wilson D Litwin (1996) ArticleTitleLaparoscopic management of intussusception caused by colonic lipomata: a case report and review of the literature. Surg Laparosc Endosc 6 155–159 Occurrence Handle10.1097/00019509-199604000-00015 Occurrence Handle1:STN:280:BymB28bhtVI%3D Occurrence Handle8680642

    Article  CAS  PubMed  Google Scholar 

  7. CS Huang LH Lin (1993) ArticleTitleLaparoscopic Meckel’s diverticulectomy in infants: report of three cases. J Pediatr Surg 28 1486–1489 Occurrence Handle1:STN:280:ByuC3szgtFM%3D Occurrence Handle8301465

    CAS  PubMed  Google Scholar 

  8. IR Lai MT Huang WJ Lee (2000) ArticleTitleMinilaparoscopic reduction of intussusception for children. J Formos Med Assoc 99 510–512 Occurrence Handle1:STN:280:DC%2BD3czptFOgug%3D%3D Occurrence Handle10925560

    CAS  PubMed  Google Scholar 

  9. MI Matsagas M Fatouros B Koulouras AD Giannoukas (1995) ArticleTitleIncidence, complications, and management of Meckel’s diverticulum. Arch Surg 130 143–146 Occurrence Handle1:STN:280:ByqC2M%2FotFQ%3D Occurrence Handle7848082

    CAS  PubMed  Google Scholar 

  10. KT Park SH Kim TJ Song HY Moon (2001) ArticleTitleLaparoscopic-assisted resection of ileal lipoma causing ileo-ileo-colic intussusception. J Korean Med Sci 16 119–122 Occurrence Handle1:STN:280:DC%2BD3M7pslakug%3D%3D Occurrence Handle11289390

    CAS  PubMed  Google Scholar 

  11. IV Poddoubnyi AF Dronov OI Blinnikov AN Smirnov IA Darenkov KA Dedov (1998) ArticleTitleLaparoscopy in the treatment of intussusception in children. J Pediatr Surg 33 1194–1197 Occurrence Handle1:STN:280:DyaK1czoslCnsg%3D%3D Occurrence Handle9721985

    CAS  PubMed  Google Scholar 

  12. F Schier (1997) ArticleTitleExperience with laparoscopy in the treatment of intussusception. J Pediatr Surg 32 1713–1714 Occurrence Handle1:STN:280:DyaK1c%2FpsVSqtg%3D%3D Occurrence Handle9434005

    CAS  PubMed  Google Scholar 

  13. RP Skipper CR Boeckman RL Klein (1990) ArticleTitleChildhood intussusception. Surg Gynecol Obstet 171 151–153 Occurrence Handle1:STN:280:By%2BA2c7ovFE%3D Occurrence Handle2382193

    CAS  PubMed  Google Scholar 

  14. BT Ugwu N Mbah NK Dakum SJ Yiltok JN Legbo AF Uba (2001) ArticleTitleAdult intussusception: the Jos experience. West Afr J Med 20 213–216 Occurrence Handle1:STN:280:DC%2BD387lsVSktg%3D%3D Occurrence Handle11885874

    CAS  PubMed  Google Scholar 

  15. M van der Laan NM Bax DC van der Zee BM Ure (2001) ArticleTitleThe role of laparoscopy in the management of childhood intussusception. Surg Endosc 15 373–376 Occurrence Handle1:STN:280:DC%2BD38%2Fht1yitA%3D%3D Occurrence Handle11395818

    CAS  PubMed  Google Scholar 

  16. DM Warshauer JK Lee (1999) ArticleTitleAdult intussusception detected at CT or MR imaging: clinical imaging correlation. Radiology 212 853–860 Occurrence Handle1:STN:280:DyaK1MvgslKqtw%3D%3D Occurrence Handle10478257

    CAS  PubMed  Google Scholar 

Download references

Author information

Affiliations

  1. Department of Surgery, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL, UK

    Y. El-Dhuwaib & B. J. Ammori

  2. Department of Radiology, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL, UK

    S. O’Shea

Authors
  1. Y. El-Dhuwaib
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. S. O’Shea
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. B. J. Ammori
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to B. J. Ammori.

Rights and permissions

Reprints and Permissions

About this article

Cite this article

El-Dhuwaib, Y., O’Shea, S. & Ammori, B. Laparoscopic reduction of an ileoileal intussusception and resection of an inverted Meckel’s diverticulum in an adult . Surg Endosc 17, 1157 (2003). https://doi.org/10.1007/s00464-002-4284-4

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00464-002-4284-4

Keywords

  • Intussusception
  • Laparoscopy
  • Meckel’s diverticulum
  • Resection
  • Reduction
  • Anastomosis