Case of colonic intussusception secondary to mobile cecum syndrome repaired by laparoscopic cecopexy using a barbed wound suture device

Figure 1 Target sign on abdominal ultrasonography (A) and contrast-enhanced computed tomography scan (B). The so-called bowel-within-bowel configuration, in which the layers of the bowel are duplicated, thereby forming concentric rings, is seen (white arrows). Dilatation of the terminal ileum is observed (black arrows). C: A colonoscopic view of the intussusception. Edematous colonic mucosa was identified on the lead point of intussusception. No neoplastic lesion was detected, even after reduction of intussusception.

Figure 2 Laparoscopic view. A: A linear indentation leaving a trace of intussusception was found in the middle portion of the ascending colon (white arrows). The cecum was not attached to the retroperitoneum (black arrows); B: The cecum was easily moved to the upper abdomen. No fixation of the cecum was observed (black arrows).

Figure 3 Laparoscopic cecopexy. A: An approximately 10-cm long incision (black arrows) was made on the right parietal peritoneum along the ascending colon; B: The cecum and ascending colon were stitched to the parietal peritoneum with continuous sutures using an absorbable barbed wound suture device (black arrows).