Long-Term Followup of the Intussuscepted Ileal Nipple and the In Situ, Submucosally Embedded Appendix as Continence Mechanisms of Continent Urinary Diversion With the Cutaneous Ileocecal Pouch (Mainz Pouch I).
A single laparoscopic endostapler (3.5 mm, 2.0 mm staple thickness, blue load) was used to perform linear resection of the cecum including the intussuscepted appendix so as to avoid the ileocecal valve (Figure 3).
The esophagus was observed to be intussuscepted into the stomach (Figure 2(b)), and then this combination was further invaginated into the duodenum (Figure 2(a)) forming a second intussusception.
Therefore, if CT shows that the cecum or cecal lipoma has intussuscepted into the far distal colon, mobile cecum syndrome should be considered before emergency laparotomy.
3 (A & B): Non contrast enhanced CT scan axial images shows Target shaped (White open arrow in A) /Sausage shaped (White open arrow in B) soft tissue mass with alternating areas of low and high attenuation in left iliac fossa, umbilical, pelvic region of abdomen representing the intussuscepted segment.
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