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A case of single incision laparoscopic total colectomy for intestinal neuronal dysplasia type B.
Int J Surg Case Rep 2017; 38:122-127IJ

Abstract

INTRODUCTION

Intestinal neuronal dysplasia type B (IND-B) is an infrequent disease of the submucosal plexus of intestine manifesting chronic intestinal obstruction or severe chronic constipation. IND is rarely reported in adult patients.

PRESENTATION OF A CASE

The present study reports on the case of a 36 year-old woman suffering from longstanding chronic constipation and who was diagnosed with severe constipation in more than 20 years. Although she began to take a large amount of stimulant laxatives, such as "senna" and "bisacodyl", constipation symptoms did not improve, she was admitted to our hospital. It was diagnosed with refractory constipation of the medication treatment-resistance, total colectomy with ileorectal anastomosis by single incision laparoscopic surgery (SILS) was performed. The final pathological diagnosis was IND-B.

DISCUSSION

Refractory constipation after medical treatment is often seen in young generation. SILS has benefits of better cosmesis, reduced morbidity, reduced postoperative pain, and reduced length of hospital stay.

CONCLUSION

For the patients with refractory constipation associated with neuropathy such as IND, total colectomy by SILS was very effective.

Authors+Show Affiliations

Department of Surgery, National Hospital Organization Nagasaki Medical Center, Nagasaki, Japan.Department of Surgery, National Hospital Organization Nagasaki Medical Center, Nagasaki, Japan. Electronic address: tnonaka@nagasaki-u.ac.jp.Department of Surgery, National Hospital Organization Nagasaki Medical Center, Nagasaki, Japan.Department of Surgery, National Hospital Organization Nagasaki Medical Center, Nagasaki, Japan.Department of Surgery, National Hospital Organization Nagasaki Medical Center, Nagasaki, Japan.Department of Surgery, National Hospital Organization Nagasaki Medical Center, Nagasaki, Japan.Department of Surgery, National Hospital Organization Nagasaki Medical Center, Nagasaki, Japan.Department of Pathology, National Hospital Organization Nagasaki Medical Center, Nagasaki, Japan.Department of Pathology, National Hospital Organization Nagasaki Medical Center, Nagasaki, Japan.Department of Surgery, National Hospital Organization Nagasaki Medical Center, Nagasaki, Japan.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

28756361

Citation

Masuda, Taro, et al. "A Case of Single Incision Laparoscopic Total Colectomy for Intestinal Neuronal Dysplasia Type B." International Journal of Surgery Case Reports, vol. 38, 2017, pp. 122-127.
Masuda T, Nonaka T, Adachi T, et al. A case of single incision laparoscopic total colectomy for intestinal neuronal dysplasia type B. Int J Surg Case Rep. 2017;38:122-127.
Masuda, T., Nonaka, T., Adachi, T., Hisanaga, M., Nagayoshi, S., Tokunaga, T., ... Fujioka, H. (2017). A case of single incision laparoscopic total colectomy for intestinal neuronal dysplasia type B. International Journal of Surgery Case Reports, 38, pp. 122-127. doi:10.1016/j.ijscr.2017.07.026.
Masuda T, et al. A Case of Single Incision Laparoscopic Total Colectomy for Intestinal Neuronal Dysplasia Type B. Int J Surg Case Rep. 2017;38:122-127. PubMed PMID: 28756361.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A case of single incision laparoscopic total colectomy for intestinal neuronal dysplasia type B. AU - Masuda,Taro, AU - Nonaka,Takashi, AU - Adachi,Toshiyuki, AU - Hisanaga,Makoto, AU - Nagayoshi,Shigeki, AU - Tokunaga,Takayuki, AU - Taniguchi,Ken, AU - Kurohama,Hirokazu, AU - Ito,Masahiro, AU - Fujioka,Hikaru, Y1 - 2017/07/21/ PY - 2017/04/12/received PY - 2017/07/12/revised PY - 2017/07/15/accepted PY - 2017/8/2/pubmed PY - 2017/8/2/medline PY - 2017/7/31/entrez KW - Laparoscopy KW - Single incision laparoscopic surgery KW - Total colectomy SP - 122 EP - 127 JF - International journal of surgery case reports JO - Int J Surg Case Rep VL - 38 N2 - INTRODUCTION: Intestinal neuronal dysplasia type B (IND-B) is an infrequent disease of the submucosal plexus of intestine manifesting chronic intestinal obstruction or severe chronic constipation. IND is rarely reported in adult patients. PRESENTATION OF A CASE: The present study reports on the case of a 36 year-old woman suffering from longstanding chronic constipation and who was diagnosed with severe constipation in more than 20 years. Although she began to take a large amount of stimulant laxatives, such as "senna" and "bisacodyl", constipation symptoms did not improve, she was admitted to our hospital. It was diagnosed with refractory constipation of the medication treatment-resistance, total colectomy with ileorectal anastomosis by single incision laparoscopic surgery (SILS) was performed. The final pathological diagnosis was IND-B. DISCUSSION: Refractory constipation after medical treatment is often seen in young generation. SILS has benefits of better cosmesis, reduced morbidity, reduced postoperative pain, and reduced length of hospital stay. CONCLUSION: For the patients with refractory constipation associated with neuropathy such as IND, total colectomy by SILS was very effective. SN - 2210-2612 UR - https://www.unboundmedicine.com/medline/citation/28756361/A_case_of_single_incision_laparoscopic_total_colectomy_for_intestinal_neuronal_dysplasia_type_B L2 - https://linkinghub.elsevier.com/retrieve/pii/S2210-2612(17)30349-8 DB - PRIME DP - Unbound Medicine ER -