Appendicular mucocele as cause of intestinal intussusception: diagnostic by computer tomography

Fernández-Rey, C. L.; García, Serafín Costilla; Blanco, A. M. Álvarez

doi:10.4321/s1130-01082010001000008

Cited by 6 publications

(3 citation statements)

References 4 publications

(8 reference statements)

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“…Sometimes a patient has abnormal pain due to acute appendicitis. In addition, patients may present an intussusception, appendiceal torsion, gastrointestinal bleeding (7)(8)(9)(10). The intussusception caused by appendiceal mucocele is extremely rare.…”

Section: Discussionmentioning

confidence: 99%

Minimally invasive surgery for appendiceal intussusception caused by mucocele of the appendix: case report and review of the literature

Sun

Jiang

Sun

et al. 2020

J Gastrointest Oncol

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Appendiceal intussusception caused by mucocele of the appendix is extremely rare. In the current study, a 32-year-old woman was admitted to the department of general surgery of our hospital, complaining of persistent right, lower quadrant pain without an obvious cause for 17 hours. Physical examination indicated significant pain and tenderness in the right, lower abdominal quadrant. Blood analysis indicated that leukocyte count, the percentage of neutrophils and the serum C-reactive protein were increased. Abdominal and pelvic computed tomography revealed a well-encapsulated cystic mass surrounded by the caecum and intussusception. The appendiceal intussusception caused by mucocele of the appendix was revealed during the laparoscopic exploration. Appendectomy and partial cecectomy were conducted using the laparoscopic approach. Postoperative pathological examinations showed ileocecal intussusception and chronic inflammation, appendiceal mucocele and acute suppurative appendicitis. The patient showed satisfactory recovery that was observed during 15-months of follow-ups. This case highlights that laparoscopic appendectomy and partial cecectomy may be a beneficial, minimally invasive approach for appendiceal intussusception caused by mucocele of the appendix.

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Section: Discussionmentioning

confidence: 99%

Minimally invasive surgery for appendiceal intussusception caused by mucocele of the appendix: case report and review of the literature

Sun

Jiang

Sun

et al. 2020

J Gastrointest Oncol

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“…Appendicidal intussusception has been described as having a target, layered, sausageshaped, or reniform appearance on CT; when present, this appearance is virtually pathognomonic (Luzier et al, 2006). Moreover, CT scans may reveal a mass lesion within the caecum, a thickened "sausage shaped" caecum and the pathognomonic bowel-within-bowel configuration (Fernandez-Rey et al, 2010). The limitations of CT primarily relate to its use of ionizing radiation and the risk of allergy to contrast material.…”

Section: Laboratory Radiological and Colonoscopical Investigationmentioning

confidence: 99%

Appendiceal Intussusception

Varsamis¹,

Pouggouras²,

Salveridis³

et al. 2012

Current Concepts in Colonic Disorders

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“…25,26,[30][31][32][33][34][35][36][37][38][39][40][41][42][43][44] Surgical intervention is mandatory in all cases of intussusception in adults. The treatment consists of surgical resection of the intestinal segment affected, with primary anastomosis if possible.…”

Section: 10mentioning

confidence: 99%

Adult Intussusception of Appendicular Mucinous Cystoadenoma

Feliú

Rueda

Escuder

et al. 2013

International Surgery

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Intussusception is a rare cause of adult intestinal obstruction. Clinical manifestations are not specific, which makes a preoperative diagnosis difficult to establish and often causes delay. We report a case of acute intestinal obstruction due to ileocolic intussusception. An emergency laparoscopy was performed revealing an obstructive mass at the ileocecal region resulting from an appendicular tumor. A right hemicolectomy was conducted. The pathologic examination of the resected sample concluded the mass comprised an appendicular mucinous cystoadenoma. We discuss the clinical features, preoperative diagnosis, and surgical strategies of adult intussusception, as well as the uncommon finding of an appendicular mucinous tumor as its causative lesion, with a review of the available literature.Key words: Adult intussusception -Appendiceal mucocele -Intestinal obstruction I ntussusception is the invagination of a proximal segment of bowel (intussusceptum) into the lumen of the adjacent distal segment (intussuscipiens). Pediatric patients account for 95% of all cases of intussusception, in whom it is usually idiopathic or the result of a viral process; whereas adult patients account for only 1% to 5%, and an organic lesion is found in up to 90% of the adult cases. 1,2Acute bowel obstruction due to intussusception is rare in adults and accounts for 0.003% to 0.02% of hospital admissions and for only 1% of all intestinal obstructions.1 Preoperative diagnosis is a real challenge for physicians because of its unspecific and extremely variable presentation and requires a high index of suspicion. Therefore, the initial diagnosis is usually missed or delayed and may only be established during surgery. [3][4][5] We present a very uncommon case of acute intestinal obstruction resulting from an ileocolic intussusception secondary to a mucinous tumor of the appendix and review the literature about this finding as a lead point. Case ReportA 57-year-old female presented to the emergency department with a 2-to 3-month history of intermittent and worsening abdominal pain, great- est in the right lower quadrant, which had increased gradually over the past 3 days. It was associated with dizziness and diarrhea but she denied any history of fever, nausea, vomiting, bloody stools, or weight loss. The patient's medical history included a groin hernia surgery and gastroesophageal reflux on oral treatment.Initial vital signs were within normal limits. Abdominal examination revealed diffuse tenderness on palpation, above all in the right lower quadrant, but without rebound or voluntary guarding. There was no palpable mass, and the auscultation found struggle bowel sounds. Blood tests were normal as was urine analysis.Abdominal X-ray exam was not demonstrative of intestinal obstruction. Computed tomography (CT) of the abdomen and pelvis showed a pathologic mass at the ileocolic region, of cystic appearance with parietal calcifications, with edematous pericolonic fat stranding suggesting of ileocolic intussusception causing an intestinal obstr...

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Appendicular mucocele as cause of intestinal intussusception: diagnostic by computer tomography

Cited by 6 publications

References 4 publications

Minimally invasive surgery for appendiceal intussusception caused by mucocele of the appendix: case report and review of the literature

Minimally invasive surgery for appendiceal intussusception caused by mucocele of the appendix: case report and review of the literature

Appendiceal Intussusception

Adult Intussusception of Appendicular Mucinous Cystoadenoma

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