Case Report
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KOLONOSKOPİDE ÇEKAL POLİP İMAJI VEREN İNVERTE APENDİKS GÜDÜĞÜ

Year 2018, Volume: 19 Issue: 1, 24 - 26, 15.01.2018
https://doi.org/10.18229/kocatepetip.411183

Abstract

Çekumda kitle imajına yol açabilen inverte apendiks güdüğü apendektominin oldukça nadir komplikasyonlarından biridir. Kolonoskopide apendiks invajinasyonu veya inverte güdük polip ya da tümör görünümü vererek yanıltıcı olabilmektedir. Bu nedenden dolayı biyopsiden geniş rezeksiyona kadar değişen çeşitli tedaviler uygulandığı görülmektedir. Kolonoskopik tanı konulan hasta sayısı oldukça az olup kolonoskopik tedavi yaklaşımları olası peritonit riski göz önünde tutularak seçilmiş hastalarda uygulanabilir. Bu yazıda snare polipektomi sonrası tanı konulan, kolonoskopide çekal polip imajı veren inverte apendiks güdüğü olgusu sunulmuştur. Özellikle apendiks orifisi düzeyine lokalize lezyonlarda inverte güdük ya da intussepsiyon ihtimalinin akılda tutulması gerektiği, kolonoskopik yaklaşım ile tedavinin de seçenekler arasında olabileceği vurgulanmak istenmiştir.

References

  • Seddik H, Rabhi M. Two cases of appendiceal intussusception: a rare diagnostic pitfall in colonoscopy. Diagn Ther Endosc 2011;2011:198984.
  • Tăban S, Dema A, Lazăr D, Sporea I, Lazăr E, Cornianu M. Anunusual ‘tumor’ of the cecum: the inverted appendiceal stump. Rom J Morphol Embryol 2006;47(2):193-6.
  • Komine N, Yasunaga C, Nakamoto M, at al. Intussusception of the appendix that reduced spontaneously during follow-up in a patient on hemodialysis therapy. Inter Med 2004;43(6):479–83.
  • McKidd J. Case of invagination of cecum and appendix.Edinburgh Med J 1858;4:793-6.
  • Thomas SE, Denning DA, Cummings MH. Delayed pathologyof the appendiceal stump: a case report of stump appendicitis and review. Am Surg 1994;60(11):842–4.
  • Fenoglio-Preiser C. Intussusception, autoamputation andinverted appendiceal stump, In: Gastrointestinal Pathology. An atlas and text, 2nd edition, Lippincott–Raven, 1999, Chapter 12:520.
  • Ram AD, Peckham C, Akobeng AK, Thomas AG, David TJ, Patel L. Inverted appendix mistaken for a polyp during colonoscopy and leading to intussusception. J Cyst Fibros 2005;4:203–4.
  • Tavakkoli H, Sadrkabir SM, Mahzouni P. Colonoscopicdiagnosis of appendiceal intussusception in a patient with intermittent abdominal pain: a case report. World J Gastroenterol 2007;13(31):4274-7.
  • 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(8):413–5.

THE INVERTED APPENDICEAL STUMP THAT MIMICK CAECAL POLYP IN COLONOSCOPIC EXAMINATION

Year 2018, Volume: 19 Issue: 1, 24 - 26, 15.01.2018
https://doi.org/10.18229/kocatepetip.411183

Abstract

The inverted appendix stump which can mimick mass image in caecum is one of the rare complication of appendectomy. Intussusception of appendix or inverted appendiceal stump may appear like a polyp or tumor during colonoscopy. For this reason, many different treatments such as biopsy to extensive resection is done. The number of patients diagnosed colonoscopic is very low. Colonoscopic treatment can be applied in selected patients considering potential risk of peritonitis. In this article we described a case of inverted appendiceal stump imaged caecal polyp during colonoscopy that is diagnosed after snare polypectomy. We need to keep in mind the possibility of intussusception or inverted stump for lesions that localized around the orifice of the appendix and colonoscopic aproach can be an option of treatment.

References

  • Seddik H, Rabhi M. Two cases of appendiceal intussusception: a rare diagnostic pitfall in colonoscopy. Diagn Ther Endosc 2011;2011:198984.
  • Tăban S, Dema A, Lazăr D, Sporea I, Lazăr E, Cornianu M. Anunusual ‘tumor’ of the cecum: the inverted appendiceal stump. Rom J Morphol Embryol 2006;47(2):193-6.
  • Komine N, Yasunaga C, Nakamoto M, at al. Intussusception of the appendix that reduced spontaneously during follow-up in a patient on hemodialysis therapy. Inter Med 2004;43(6):479–83.
  • McKidd J. Case of invagination of cecum and appendix.Edinburgh Med J 1858;4:793-6.
  • Thomas SE, Denning DA, Cummings MH. Delayed pathologyof the appendiceal stump: a case report of stump appendicitis and review. Am Surg 1994;60(11):842–4.
  • Fenoglio-Preiser C. Intussusception, autoamputation andinverted appendiceal stump, In: Gastrointestinal Pathology. An atlas and text, 2nd edition, Lippincott–Raven, 1999, Chapter 12:520.
  • Ram AD, Peckham C, Akobeng AK, Thomas AG, David TJ, Patel L. Inverted appendix mistaken for a polyp during colonoscopy and leading to intussusception. J Cyst Fibros 2005;4:203–4.
  • Tavakkoli H, Sadrkabir SM, Mahzouni P. Colonoscopicdiagnosis of appendiceal intussusception in a patient with intermittent abdominal pain: a case report. World J Gastroenterol 2007;13(31):4274-7.
  • 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(8):413–5.
There are 9 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Case Report
Authors

Ramazan Kozan

Publication Date January 15, 2018
Acceptance Date February 29, 2016
Published in Issue Year 2018 Volume: 19 Issue: 1

Cite

APA Kozan, R. (2018). KOLONOSKOPİDE ÇEKAL POLİP İMAJI VEREN İNVERTE APENDİKS GÜDÜĞÜ. Kocatepe Tıp Dergisi, 19(1), 24-26. https://doi.org/10.18229/kocatepetip.411183
AMA Kozan R. KOLONOSKOPİDE ÇEKAL POLİP İMAJI VEREN İNVERTE APENDİKS GÜDÜĞÜ. KTD. January 2018;19(1):24-26. doi:10.18229/kocatepetip.411183
Chicago Kozan, Ramazan. “KOLONOSKOPİDE ÇEKAL POLİP İMAJI VEREN İNVERTE APENDİKS GÜDÜĞÜ”. Kocatepe Tıp Dergisi 19, no. 1 (January 2018): 24-26. https://doi.org/10.18229/kocatepetip.411183.
EndNote Kozan R (January 1, 2018) KOLONOSKOPİDE ÇEKAL POLİP İMAJI VEREN İNVERTE APENDİKS GÜDÜĞÜ. Kocatepe Tıp Dergisi 19 1 24–26.
IEEE R. Kozan, “KOLONOSKOPİDE ÇEKAL POLİP İMAJI VEREN İNVERTE APENDİKS GÜDÜĞÜ”, KTD, vol. 19, no. 1, pp. 24–26, 2018, doi: 10.18229/kocatepetip.411183.
ISNAD Kozan, Ramazan. “KOLONOSKOPİDE ÇEKAL POLİP İMAJI VEREN İNVERTE APENDİKS GÜDÜĞÜ”. Kocatepe Tıp Dergisi 19/1 (January 2018), 24-26. https://doi.org/10.18229/kocatepetip.411183.
JAMA Kozan R. KOLONOSKOPİDE ÇEKAL POLİP İMAJI VEREN İNVERTE APENDİKS GÜDÜĞÜ. KTD. 2018;19:24–26.
MLA Kozan, Ramazan. “KOLONOSKOPİDE ÇEKAL POLİP İMAJI VEREN İNVERTE APENDİKS GÜDÜĞÜ”. Kocatepe Tıp Dergisi, vol. 19, no. 1, 2018, pp. 24-26, doi:10.18229/kocatepetip.411183.
Vancouver Kozan R. KOLONOSKOPİDE ÇEKAL POLİP İMAJI VEREN İNVERTE APENDİKS GÜDÜĞÜ. KTD. 2018;19(1):24-6.

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