Erişkin bir hastada çekumda polipoid kitle olarak prezente olan şaşırtıcı bir olgu: apendiks intussusepsiyonu
Year 2023,
Volume: 16 Issue: 3, 516 - 521, 01.07.2023
Erdem Çomut
,
Hande Karabaş
,
Utku Ozgen
,
Murat Özban
,
Neşe Demirkan
Abstract
Apendiks intussusepsiyonu yetişkin bir hastada nadir görülen bir durumdur ve başlangıçta klinik veya radyolojik olarak ayırıcı tanıda düşünülmeyebilir. Organik bir nedene bağlı olarak veya idiyopatik olarak ortaya çıkar. Bu yazıda, kolonoskopide çekumda polipoid lezyon saptanan ve radyolojik görüntüleme yapılmayan, sonuçta gross ve histopatolojik olarak apendiks intussusepsiyonu tanısı konulan 74 yaşında bir hasta sunulmuştur. Sonuç olarak, hekimlere çekumda kitle şüphesi ile başvuran tüm hastalarda apendiks intussusepsiyonunu alternatif bir tanı olarak düşünmeleri önerilmektedir.
References
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Voltaggio L. The inverted appendix – a potentially
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T, Kitahara K. Intussusception of the cecum due to
the acute appendicitis: a case report. Int J Surg Case
Rep 2022;100:107727. https://doi.org/10.1016/j.
ijscr.2022.107727
- 3. Salehzadeh A, Scala A, Simson JN. Appendiceal
intussusception mistaken for a polyp at colonoscopy:
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0X12699662981591
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2018;35:74-77. https://doi.org/10.5578/turkjsurg.3633
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Intussusception of the appendix: comprehensive review
of the literature. Am J Surg 2009;198:122-128. https://
doi.org/10.1016/j.amjsurg.2008.08.023
- 6. Adhikari AB, Acharya K, Kathayat K, Bhatta NC,
Koirala DP, Dahal GR. Forshal type IE appendiceal
intussusception: A case report. Int J Surg Case
Rep 2021;84:106151. https://doi.org/10.1016/j.
ijscr.2021.106151
- 7. Grama F, Onica M, Chitul A, Bezede C, Burcoş T,
Cristian D. Appendix intussusception: a challenging
differential diagnosis. ANZ J Surg 2020:90;2090-2091.
https://doi.org/10.1111/ans.15727
- 8. Petracic I, Pajic A, Visnjic S, Gliha A, Car A, Petracic
AO. Appendiceal intussusception in pediatric patient -
cse report. J Surg Curr Trend Innov 2020;4:026. https://
doi.org/10.24966/SCTI-7284/100026
A puzzling case presenting as a polypoid mass in the cecum in an adult patient: appendiceal intussusception
Year 2023,
Volume: 16 Issue: 3, 516 - 521, 01.07.2023
Erdem Çomut
,
Hande Karabaş
,
Utku Ozgen
,
Murat Özban
,
Neşe Demirkan
Abstract
Appendiceal intussusception is a rare condition in an adult patient and may not be initially considered in the differential diagnosis clinically or radiologically. It occurs due to an organic cause or idiopathically. We report a 74-year-old patient who had a polypoid lesion in the cecum on colonoscopy with no radiologic imaging and was ultimately diagnosed grossly and histopathologically as appendiceal intussusception. In conclusion, physicians are advised to consider appendiceal intussusception as an alternative diagnosis in all patients presenting with a suspected cecal mass.
References
- 1. Birkness J, Lam Himlin D, Byrness K, Wood L,
Voltaggio L. The inverted appendix – a potentially
problematic diagnosis: clinicopathologic analysis of 21
cases. Histopathology 2019;74:853-860. https://doi.
org/10.1111/his.13824
- 2. Kimura N, Hiraki M, Sato H, Koga H, Mori D, Tanaka
T, Kitahara K. Intussusception of the cecum due to
the acute appendicitis: a case report. Int J Surg Case
Rep 2022;100:107727. https://doi.org/10.1016/j.
ijscr.2022.107727
- 3. Salehzadeh A, Scala A, Simson JN. Appendiceal
intussusception mistaken for a polyp at colonoscopy:
case report and review of literature. Ann R Coll Surg
Engl 2010;92:46-48. https://doi.org/10.1308/14787081
0X12699662981591
- 4. Zenger S, Bilgiç Ç, Buğra D. Laparoscopic partial cecum
resection in appendiceal intussusception. Turk J Surg
2018;35:74-77. https://doi.org/10.5578/turkjsurg.3633
- 5. Chaar CI, Wexelman B, Zuckerman K, Longo W.
Intussusception of the appendix: comprehensive review
of the literature. Am J Surg 2009;198:122-128. https://
doi.org/10.1016/j.amjsurg.2008.08.023
- 6. Adhikari AB, Acharya K, Kathayat K, Bhatta NC,
Koirala DP, Dahal GR. Forshal type IE appendiceal
intussusception: A case report. Int J Surg Case
Rep 2021;84:106151. https://doi.org/10.1016/j.
ijscr.2021.106151
- 7. Grama F, Onica M, Chitul A, Bezede C, Burcoş T,
Cristian D. Appendix intussusception: a challenging
differential diagnosis. ANZ J Surg 2020:90;2090-2091.
https://doi.org/10.1111/ans.15727
- 8. Petracic I, Pajic A, Visnjic S, Gliha A, Car A, Petracic
AO. Appendiceal intussusception in pediatric patient -
cse report. J Surg Curr Trend Innov 2020;4:026. https://
doi.org/10.24966/SCTI-7284/100026