Year: 2024
Type: article
Study design: Case Report
Abstract: BACKGROUND: Intussusception of the appendiceal endometriosis is rare. Although approximately 200 cases of appendiceal intussusception have been reported in the literature, very few have ever been diagnosed preoperatively. Here, we report the case of intussusception of the appendiceal endometriosis with laparoscopic ileocecal resection. CASE PRESENTATION: A woman in her 50s presented to the out-patients clinic with epigastric pain lasting for a several month. Contrast-enhanced computed tomography (CT) scanning revealed ileocolic intussusception in which a cecum polypoid mass lesion extended to the hepatic flexure of the ascending colon. A colonoscopy showed a large pedunculated polyp in the cecum. Laparoscopic ileocecal resection was performed. Pathology confirmed an invaginated appendix demonstrating endometriosis implants. CONCLUSIONS: Possible intrinsic causes of intussusception are varied, appendiceal intussusception secondary to endometriosis is extremely rare. Intussusception of the appendix is a rare finding, often mistaken for a polyp. We suggest considering inverted appendix as a differential diagnosis when investigating cecal lesions.
Source: Surgical Case Reports
Authors: Yuta Kawaguchi, Kyoichiro Maekawa, Toshiaki Hashimoto, Mizuki Kitagawa, Shigetoshi Urabe, Emi Yoshimura, Takashi Goto, Mihoko Rikitake, Tohru Iwata
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $1,535
OpenAlex ID: W4404366188