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Intussusception of the Appendix: A Case Report

Year 2012, Volume: 37 Issue: 4, 238 - 242, 01.12.2012

Abstract

Intussusception of the appendix is a rare condition. As the symptoms can mixed with acute apandicitis, the diagnosis is difficult both clinically and radiologically at the preoperative period. This article reports a case of appendiceal intussusception who was presented as acute abdomen. Although diagnostic imaging was improved, sometimes preoperative findings are not enough helpful for the diagnosis. Therefore doctors should consider alternative diagnosis such as appendicitis, tumor in addition to intussusception at acute abdomen .

References

  • Akbayır N, Yıldırım S, Sökmen HM, Kılıç G, Erdem L, Alkım C. Intussusception of vermiform appendix with microscopic melanosis coli: A case report Turk J Gastroenterol. 2006; 17: 233-5.
  • Liang HH, Huang MT, Wei PL, Weu W, Lin YH,Tiang C et al. Endometriosis-induced appendiceal intussusception The American Journal of Surgery. 2009; 197: e66-8.
  • Alehossein M, Alizadeh H, Nahvi H, Esfe ARG, Bozorg SMV. Preoperative Sonographic Diagnosis of Appendiceal Intussusception: A Case Report Journal of Clinical Ultrasound. 2009; 37: 363-5.
  • Salehzadeh A, Scala A, Simson JNL. Appendiceal intussusception mistaken for a polyp at colonoscopy: case report and review of literature Ann R Coll Surg Engl. 2010; 92: 1-3.
  • Marin MR, Banos PAP, Valverde FMG, Moncada JR, Arenas MFC, Martinez MM et al. Appendiceal Intussusception Resulting from Endometriosis Presenting as Acute Appendicitis The American Surgeon. 2010; 76: 906-8.
  • Lipskar A, Telem D, Masseaux J, Midulla P, Dolgin S. Failure of appendectomy to resolve appendiceal intussusception Journal of Pediatric Surgery. 2008; 43: 1554–56.
  • Chaar CIO, Wexelman B, Zuckerman K, Longo W. Intussusception of the appendix: comprehensive review of the literature The American Journal of Surgery. 2009; 198: 122-8.
  • Seddik H, Rabhi M. Two Cases of Appendiceal Intussusception: A Rare Diagnostic Pitfall in Colonoscopy Diagnostic and Therapeutic Endoscopy. 2011; ID 198984, doi:10.1155/2011/198984.
  • Collins DC. 71,000 human appendix specimens. A final report, summarizing forty years’ study. Am J Proctol. 1963;14:265– 81.
  • Hanly AM, Ryan EM, McNamara DA. Appendiceal intussusception and endometriosis mimicking colorectal cancer. Colorectal Disease. 2010; 13: 225–6.
  • Moradi P, Barakate M, Gill A, Farrow G.. Intussusception of the veriform appendix due to endometriosis presenting as acute appendicitis. ANZ J Surg. 2007; 77:758–60.
  • Blondiaux E, Savoye-Collet C, Foulatier O, Lemoine F, Dacher JN. Appendiceal intussusception caused by a mucocele of the appendix: Imaging findings Digestive and Liver Disease. 2007; 39: 1087.
  • Kawamura YJ, Toyama N, Kasamatsu T, et al. Intussusception of appendiceal adenoma mimicking invasive carcinoma. Endoscopy. 2002; 34:749.
  • Larsen SG, Nilssen A, Helseth A, Bøhler P, Giercksky KE.. Invagination of the appendix with carcinoid tumour. Eur J Surg. 1999;165:993–7.
  • Takahashi M, Sawada T, Fukuda T, Furugori T, Kuwano H.. Complete appendiceal intussusception induced by primary appendiceal adenocarcinoma in tubular adenoma: a case report. Jpn J Clin Oncol. 2003; 33:413–5.

Appendiks İntussussepsiyonu: Bir Olgu Sunumu

Year 2012, Volume: 37 Issue: 4, 238 - 242, 01.12.2012

Abstract

Appendiks intussussepsiyonu nadir görülen ve semptomlarının apandisite olan benzerliği nedeniyle hem klinik hem de radyolojik olarak preoperatif tanısı oldukça güç olan bir durumdur. Burada akut batın bulguları ile başvuran tanı ve tedavi sonrasında appendiks intussussepsiyonu olarak değerlendirilen olguyu bildirdik. Diagnostik görüntüleme yöntemleri gelişmiş olsa da bazen preoperatif dönemde tanı koymada yardımcı olmamaktadırlar. Bu yüzden doktorlar akut batın ile başvuran hastalarda akut apandisit, tümör ve ek olarak intussussepsiyonu alternatif tanı olarak düşünmeleri önerilir.

References

  • Akbayır N, Yıldırım S, Sökmen HM, Kılıç G, Erdem L, Alkım C. Intussusception of vermiform appendix with microscopic melanosis coli: A case report Turk J Gastroenterol. 2006; 17: 233-5.
  • Liang HH, Huang MT, Wei PL, Weu W, Lin YH,Tiang C et al. Endometriosis-induced appendiceal intussusception The American Journal of Surgery. 2009; 197: e66-8.
  • Alehossein M, Alizadeh H, Nahvi H, Esfe ARG, Bozorg SMV. Preoperative Sonographic Diagnosis of Appendiceal Intussusception: A Case Report Journal of Clinical Ultrasound. 2009; 37: 363-5.
  • Salehzadeh A, Scala A, Simson JNL. Appendiceal intussusception mistaken for a polyp at colonoscopy: case report and review of literature Ann R Coll Surg Engl. 2010; 92: 1-3.
  • Marin MR, Banos PAP, Valverde FMG, Moncada JR, Arenas MFC, Martinez MM et al. Appendiceal Intussusception Resulting from Endometriosis Presenting as Acute Appendicitis The American Surgeon. 2010; 76: 906-8.
  • Lipskar A, Telem D, Masseaux J, Midulla P, Dolgin S. Failure of appendectomy to resolve appendiceal intussusception Journal of Pediatric Surgery. 2008; 43: 1554–56.
  • Chaar CIO, Wexelman B, Zuckerman K, Longo W. Intussusception of the appendix: comprehensive review of the literature The American Journal of Surgery. 2009; 198: 122-8.
  • Seddik H, Rabhi M. Two Cases of Appendiceal Intussusception: A Rare Diagnostic Pitfall in Colonoscopy Diagnostic and Therapeutic Endoscopy. 2011; ID 198984, doi:10.1155/2011/198984.
  • Collins DC. 71,000 human appendix specimens. A final report, summarizing forty years’ study. Am J Proctol. 1963;14:265– 81.
  • Hanly AM, Ryan EM, McNamara DA. Appendiceal intussusception and endometriosis mimicking colorectal cancer. Colorectal Disease. 2010; 13: 225–6.
  • Moradi P, Barakate M, Gill A, Farrow G.. Intussusception of the veriform appendix due to endometriosis presenting as acute appendicitis. ANZ J Surg. 2007; 77:758–60.
  • Blondiaux E, Savoye-Collet C, Foulatier O, Lemoine F, Dacher JN. Appendiceal intussusception caused by a mucocele of the appendix: Imaging findings Digestive and Liver Disease. 2007; 39: 1087.
  • Kawamura YJ, Toyama N, Kasamatsu T, et al. Intussusception of appendiceal adenoma mimicking invasive carcinoma. Endoscopy. 2002; 34:749.
  • Larsen SG, Nilssen A, Helseth A, Bøhler P, Giercksky KE.. Invagination of the appendix with carcinoid tumour. Eur J Surg. 1999;165:993–7.
  • Takahashi M, Sawada T, Fukuda T, Furugori T, Kuwano H.. Complete appendiceal intussusception induced by primary appendiceal adenocarcinoma in tubular adenoma: a case report. Jpn J Clin Oncol. 2003; 33:413–5.
There are 15 citations in total.

Details

Primary Language Turkish
Journal Section Research
Authors

Ali Kagan Coşkun This is me

Muharrem Öztaş This is me

Eyüp Duran This is me

Taner Yigit This is me

Armagan Gunal This is me

Yusuf Peker This is me

Publication Date December 1, 2012
Published in Issue Year 2012 Volume: 37 Issue: 4

Cite

MLA Coşkun, Ali Kagan et al. “Appendiks İntussussepsiyonu: Bir Olgu Sunumu”. Cukurova Medical Journal, vol. 37, no. 4, 2012, pp. 238-42.