Case Report
Copyright ©The Author(s) 2017. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Sep 21, 2017; 23(35): 6534-6539
Published online Sep 21, 2017. doi: 10.3748/wjg.v23.i35.6534
Case of colonic intussusception secondary to mobile cecum syndrome repaired by laparoscopic cecopexy using a barbed wound suture device
Tetsu Yamamoto, Yoshitsugu Tajima, Ryoji Hyakudomi, Takanori Hirayama, Takahito Taniura, Kazunari Ishitobi, Noriyuki Hirahara
Tetsu Yamamoto, Yoshitsugu Tajima, Ryoji Hyakudomi, Takanori Hirayama, Takahito Taniura, Kazunari Ishitobi, Noriyuki Hirahara, Department of Digestive and General Surgery, Shimane University Faculty of Medicine, Izumo, Shimane 693-8501, Japan
Author contributions: All authors contributed equally to the conception, design, literature review and analysis of this study, and the drafting, critical revision, editing, and approval of the final version of this manuscript.
Institutional review board statement: The study was reviewed and approved by the Shimane University Institutional Review Board.
Informed consent statement: Informed consent was obtained from the patient.
Conflict-of-interest statement: The authors declare that there are no conflicts of interest.
Open-Access: 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/
Correspondence to: Tetsu Yamamoto, MD, PhD, Department of Digestive and General Surgery, Shimane University Faculty of Medicine, 89-1 Enya, Izumo, Shimane 693-8501, Japan. t2t2@med.shimane-u.ac.jp
Telephone: +81-853-202232 Fax: +81-853-202229
Received: February 19, 2017
First decision: February 21, 2017
Revised: June 1, 2017
Accepted: July 12, 2017
Article in press: July 12, 2017
Published online: September 21, 2017
Processing time: 213 Days and 14.2 Hours
Abstract

A 27-year-old man with recurrent right lower quadrant pain was admitted to our hospital. Ultrasonography and computed tomography examination of the abdomen revealed a target sign in the ascending colon, which was compatible with the diagnosis of cecal intussusception. The intussusception was spontaneously resolved at that time, but it relapsed 6 mo later. The patient underwent a successful colonoscopic disinvagination; there was no evidence of neoplastic or inflammatory lesions in the colon and terminal ileum. The patient underwent laparoscopic surgery for recurring cecal intussusception. During laparoscopy, we observed an unfixed cecum on the posterior peritoneum (i.e. a mobile cecum). Thus, we performed laparoscopic appendectomy and cecopexy with a lateral peritoneal flap using a barbed wound suture device. The patient’s post-operative course was uneventful, and he continued to do well without recurrence at 10 mo after surgery. Laparoscopic cecopexy using a barbed wound suture device is a simple and reliable procedure that can be the treatment of choice for recurrent cecal intussusception associated with a mobile cecum.

Keywords: Colonic intussusception; Adult; Mobile cecum; Cecopexy; Barbed wound suture device

Core tip: 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/