Kyo K, Azuma M, Okamoto K, Nishiyama M, Shimamura T, Maema A, Shirakawa M, Nakamura T, Koda K, Yokoyama H. Laparoscopic resection of adult colon duplication causing intussusception. World J Gastroenterol 2016; 22(7): 2398-2402 [PMID: 26900303 DOI: 10.3748/wjg.v22.i7.2398]
Corresponding Author of This Article
Kennoki Kyo, MD, PhD, Department of Surgery, Fujieda Municipal General Hospital, 4-1-11 Surugadai, Fujieda, Shizuoka 426-8677, Japan. kkyo@vega.ocn.ne.jp
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Kennoki Kyo, Masaki Azuma, Kazuya Okamoto, Motohiro Nishiyama, Takahiro Shimamura, Atsushi Maema, Motoaki Shirakawa, Toshio Nakamura, Hidetaro Yokoyama, Department of Surgery, Fujieda Municipal General Hospital, Fujieda, Shizuoka 426-8677, Japan
Kenji Koda, Department of Pathology, Fujieda Municipal General Hospital, Fujieda, Shizuoka 426-8677, Japan
Author contributions: Kyo K served as an attending doctor for the patient, designed the report and wrote the manuscript; Kyo K and Azuma M performed the surgery; Azuma M, Okamoto K, Nishiyama M, Shimamura T, Maema A, Shirakawa M, Nakamura T, Koda K and Yokoyama H were involved in editing the manuscript; Koda K performed the pathological examination.
Supported by Fujieda Municipal General Hospital, Surugadai, Fujieda, Shizuoka, Japan.
Institutional review board statement: This study was reviewed and approved by the Institutional Review Board of Fujieda Municipal General Hospital.
Informed consent statement: Written informed consent was obtained from the patient for publication of this case report and the accompanying images.
Conflict-of-interest statement: The authors declare that there are no conflicts of interest for this article.
Correspondence to: Kennoki Kyo, MD, PhD, Department of Surgery, Fujieda Municipal General Hospital, 4-1-11 Surugadai, Fujieda, Shizuoka 426-8677, Japan. kkyo@vega.ocn.ne.jp
Telephone: +81-54-6461111 Fax: +81-54-6461122
Received: September 9, 2015 Peer-review started: September 16, 2015 First decision: October 14, 2015 Revised: November 3, 2015 Accepted: December 12, 2015 Article in press: December 12, 2015 Published online: February 21, 2016 Processing time: 143 Days and 13.6 Hours
Abstract
Gastrointestinal duplications are uncommon congenital malformations that can occur anywhere along the gastrointestinal tract. Most cases are recognized before the age of 2 years, and those encountered in adults are rare. We describe here a case of ascending colon duplication in a 20-year-old male that caused intussusception and was treated laparoscopically. Although computed tomography revealed a cystic mass filled with stool-like material, the preoperative diagnosis was a submucosal tumor of the ascending colon. We performed a laparoscopic right colectomy, and the postoperative pathological diagnosis was duplication of the ascending colon, both cystic and tubular components. We conclude that gastrointestinal duplications, although rare, should be considered in the differential diagnosis of all abdominal and submucosal cystic lesions and that laparoscopy is a preferred approach for the surgical treatment of gastrointestinal duplications.
Core tip: Gastrointestinal duplications are uncommon congenital malformations and are rarely encountered in adults. We describe an adult case of ascending colon duplication resected by laparoscopic right colectomy. We conclude that gastrointestinal duplications should be included in the differential diagnosis of all abdominal and submucosal cystic lesions and that laparoscopy is a preferred approach for the surgical treatment of gastrointestinal duplications.
