A Case of Laparoscopic-Assisted Treatment of Small Bowel Int
Case presentation
A 36-year-old man was admitted to Emergency department
complaining of colicky abdominal pain and vomiting lasting
for 5-6 hours. He was referred from a gastroenterologist with
primary diagnosis acute cholecystitis. The physical xamination
showed a slightly distended abdomen with marked asymmetry due to a painful lump in the upper left quadrant. X-ray of the abdomen was consistent with small bowel obstruction (fig.1).The focused ultrasound examination of the upper left quadrant revealed finding consistent with intussusception (fig. 2). Twenty-six months ago melanoma of the left cheek with local lymph nodes involvement was diagnosed and was treated by local excision, removal of the left parotid gland and modified neck lymph node dissection. The tumor was assessed as T1aN2M0....