A case of compound intussusception of a mucocele of the appendix

Jn, WARD-McQUAID

doi:10.1002/bjs.18003714522

Cited by 6 publications

(1 citation statement)

References 2 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…By way of example, "compound intussusception" has been used to describe ileoileocolic intussusception [10], whereas both "double intussusception" and "compound intussusception" have been used to describe a variety of lesions including ileal intussusception through a patent vitellointestinal duct [11,12] (as opposed to an intussuscepted Meckel's diverticulum), as well as complex intussusception involving a lead point such as the appendix [13,14] or alternatively, aberrant tissue in the bowel wall [15].…”

Section: Discussionmentioning

confidence: 98%

Compound colonic intussusception: a reason for failure of pneumatic reduction

Arnold

Sidler

Moore

2010

Journal of Pediatric Surgery

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 98%

Compound colonic intussusception: a reason for failure of pneumatic reduction

Arnold

Sidler

Moore

2010

Journal of Pediatric Surgery

View full text Add to dashboard Cite

Intussusception of a mucocele of the appendix

Douglas

Cameron

Nixon

et al. 1978

Gastrointest Radiol

View full text Add to dashboard Cite

rare. W e r e p o r t w h a t we believe to be the 2 8 t h r e c o r d e d case, a n d d i s c u s s the clinical feat u r e s a n d p r e o p e r a t i v e d i a g n o s i s o f this c o n d i t i o n .causing its deformity (Fig. 1). A hypotonic duodenogram carried out five days later when the patient was asymptomatic showed a normal duodenum.During the asymptomatic pcriod following his admission, a double contrast enema was also carried out and this confirmed the suspicion from the upper gastrointestinal series, that he was having intermittent intussusception and demonstrated an extrinsic mass at the lower caecal pole (Fig. 2). The appendix and terminal ileum were not demonstrated, but the features on this examination were suggestive of a benign "tumour', probably of the appendix and this was considered to be the cause of the intussusception.Elective laparotomy was carried out four weeks after presentation. The only abnormality found was that the appendix was grossly dilated and its proximal one third was intussuscepted into the caecum (Fig. 3). Thc peritoneum of the appendix and terminal 7.5 cm of ileum was thickened with fibrous adhesions to thc greater Case ReportA 21-year-old male Caucasian studcnt was admitted as all emergency with a five week history of increasing colicky peri-umbiIical pain without gastrointestinal upset. He was apyrexial on admission, had moderate epigastric tenderness but no rebound tenderness. No abdominal masses were palpable and he had normal bowel sounds. Rectal examination was normal and faecal occult blood was negative. On admission he had a normal white blood count, normal erythrocyte sedimentation rate (ESR), and normal liver function tests. The serum amylase was 500 (normal range 50-300 units/litre). Admission supine plain radiograph of the abdomen showed that the gas-filled bowel was mainly on the left side of the abdomen. There was no evidence of a soft tissue mass, calcification, localised ileus, or obstruction.Diagnosis of mid-gut colic was made and he was treated empirically with propantheline bromide with complete resolution of symptoms within 24 h. Barium meal and small bowel series demonstrated initially a space occupying mass lesion within the duodenal loop, stretching the distal 2nd, 3rd, and 4th parts, and displacing the gastric antrum. However, later in the small bowel series, the intussusceptum was demonstrated lying in the transverse colon, outlined by contrast, and overlying the 'C'-loop of the duodenum, Address roprint requests to." Dr. N.J. Douglas, University of Edinburgh, Department of Medicine, The Royal Infirmary, Edinburgh EH3 9YW, UK. Fig. 1. A small bowel series showing the intussusceptum outlined by contrast. The intussusception has reached the proximal transverse colon, overlying the duodcnal loop, and causing local displacements 0364-2356/78/0003-0097 $01.00 9 1978 S p r i n g e r -V e r l a g N e w Y o r k Inc.

show abstract

Intussusception with incarceration of a cystadenoma of the appendix

Holck

Wolff

1979

Diseases of the Colon &Amp; Rectum

View full text Add to dashboard Cite

Fifty benign epithelial neoplasms were encountered during the examination of more than 30,000 appendectomy specimens in the Laboratory of Surgical Pathology, Columbia University. In 44 cases, the neoplasms were papillary cystadenomas; in 11 of these cases, there were complications, all thought to have been caused by abnormal accumulations of mucus. We have reported a unique case of an incarcerated intussusception, and attempted to explain the pathogenesis of this unusual complication. We have also summarized the existing medical literature on the subject of intussusception of adenomatous lesions of the appendix.

show abstract

A case of compound intussusception of a mucocele of the appendix

Cited by 6 publications

References 2 publications

Compound colonic intussusception: a reason for failure of pneumatic reduction

Compound colonic intussusception: a reason for failure of pneumatic reduction

Intussusception of a mucocele of the appendix

Intussusception with incarceration of a cystadenoma of the appendix

Contact Info

Product

Resources

About