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Adult Intussusception Caused by an Appendiceal Mucocele and Reduced by Colonoscopy

  • Park, Jong-Kyoung (Department of Internal Medicine, Dongguk University College of Medicine) ;
  • Kwon, Tae-Ho (Department of Internal Medicine, Dongguk University College of Medicine) ;
  • Kim, Hyun-Kyu (Department of Internal Medicine, Dongguk University College of Medicine) ;
  • Park, Jeong-Bae (Department of Internal Medicine, Dongguk University College of Medicine) ;
  • Kim, Kang (Department of Internal Medicine, Dongguk University College of Medicine) ;
  • Suh, Jeong-Ill (Department of Internal Medicine, Dongguk University College of Medicine)
  • Published : 2011.12.30

Abstract

Appendiceal intussusception is a very rare disease that is found in only 0.01% of patients who have undergone an appendectomy. Clinical symptoms vary but include acute appendicitis symptoms such as right lower quadrant abdominal pain or repetitive right lower quadrant crampy pain. Some patients are asymptomatic. Operative treatment is necessary to reduce an appendiceal intussusception in adults, but there is a debate about how to perform the reduction. Successful colonoscopic reductions have been recently reported for some cases. We report a case of appendiceal intussusception that was diagnosed, reduced by colonoscopy, and histologically confirmed as a mucinous cystadenoma after the operation.

Keywords

References

  1. Collins DC. 71,000 human appendix specimens: a final report, summarizing forty years' study. Am J Proctol 1963;14:265-281.
  2. Fink VH, Santos AL, Goldberg SL. Intussusception of the appendix. Case reports and review of the literature. AM J Gastroenterol 1964;42: 431-441.
  3. Brewer RJ, Wangensteen SL. Appendiceal intussusception: an unusual cause of painless rectal bleeding. Am Surg 1974;40:319-320.
  4. Bae JM, Jun KH, Kim NH, et al. Appendiceal intussusception caused by mucinous cystadenocarcinoma. J Korean Surg Soc 2003;64:348-352.
  5. Kim KM, Kim JH, Ha TI, et al. A case of adult idiopathic ileocecal intussusception reduced by colonoscopy. Korean J Gastrointest Endosc 2005; 30:226-229.
  6. Eu KW, Seow C, Goh HS. Caecal mass on barium enema study: a case for routine colonoscopy. Singapore Med J 1994;35:321-322.
  7. Lee IY, Kim JW, Yea CJ, et al. Two cases of benign and malignant lesion caused ileocolic intussusception: preoperative colonoscopic reduction was attempted for these patients. Korean J Gastrointest Endosc 2008; 37:293-298.
  8. Kim BU, Goo JC, Yoon SM, et al. Appendiceal intussusception showing various shapes during a colonoscopy. Korean J Gastrointest Endosc 2011;42:118-123.
  9. 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
  10. Gross RE. Intussusception. In: Gross RE, ed. The Surgery of Infancy and Childhood. Philadelphia: WB Saunders; 1953. p. 281-300.
  11. Levine MS, Trenkner SW, Herlinger H, Mishkin JD, Reynolds JC. Coiled-spring sign of appendiceal intussusception. Radiology 1985;155: 41-44. https://doi.org/10.1148/radiology.155.1.3975417
  12. Pumberger W, Hörmann M, Pomberger G, Hallwirth U. Sonographic diagnosis of intussusception of the appendix vermiformis. J Clin Ultrasound 2000;28:492-496. https://doi.org/10.1002/1097-0096(200011/12)28:9<492::AID-JCU8>3.0.CO;2-L
  13. Luzier J, Verhey P, Dobos N. Preoperative CT diagnosis of appendiceal intussusception. AJR Am J Roentgenol 2006;187:W325-W326. https://doi.org/10.2214/AJR.06.0103
  14. Omori H, Asahi H, Inoue Y, Irinoda T, Takahashi M, Saito K. Intussusception in adults: a 21-year experience in the university-affiliated emergency center and indication for nonoperative reduction. Dig Surg 2003; 20:433-439. https://doi.org/10.1159/000072712
  15. Weilbaecher D, Bolin JA, Hearn D, Ogden W 2nd. Intussusception in adults. Review of 160 cases. Am J Surg 1971;121:531-535. https://doi.org/10.1016/0002-9610(71)90133-4
  16. Park JH, Lee SH, Kim BG, et al. A case of cecal colon cancer causing intussusception and synchronous sigmoid colon cancer. Korean J Gastrointest Endosc 2006;32:152-155.

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