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Postgraduate Medical Journal 2003;79:533-534; doi:10.1136/pmj.79.935.533
© 2003 BMJ Publishing Group Ltd and The Fellowship of Postgraduate Medicine.
Postgraduate Medical Journal 2003;79:533-534
© 2003 Fellowship of Postgraduate Medicine

CASE REPORT

Laparoscopic colon resection with intraoperative polyp localisation with high resolution ultrasonography coupled with colour power Doppler

F Panaro1, M Casaccia2, D Cavaliere2, P Torelli2

1 University of Illinois at Chicago, Chicago, Illinois, USA
2 Department of Organ Transplant, St Martino Hospital, University of Genoa, Advanced Laparoscopic Unit, Genoa, Italy

Correspondence to:
Correspondence to:
Dr F Panaro, University of Illinois at Chicago, College of Medicine, 840 South Wood Street (room 402), Chicago, IL 60612–7322, USA;
fpanaro{at}uic.edu

ABSTRACT

A 40 year old woman with a 3 cm sigmoid polyp lesion who underwent a laparoscopic colon resection after intraoperative localisation of the lesion using laparoscopic ultrasonography coupled with colour power Doppler is described. She has successful intraoperative detection of the polyp followed by radical laparoscopic removal of the lesion. The advantage of using laparoscopic high resolution ultrasonography coupled with colour power Doppler to locate colonic polyp lesions during a laparoscopic colon resection is that intraoperative colonoscopy can be avoided. Intraoperative ultrasonography of the colon can accurately localise colonic polyp lesions that are not detectable during laparoscopy and represents a quick and effective alternative to other imaging techniques.

Keywords: colon; polyp; ultrasound; echo colour power Doppler; laparoscopy


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