Intussusception of the Appendix that Reduced Spontaneously during Follow-up in a Patient on Hemodialysis Therapy

Komine, Norikuni; Yasunaga, Chikao; Nakamoto, Masahiko; Shima, Ichiro; Iso, Y.; Takeda, Yasuo; Nakamata, Tomochika

doi:10.2169/internalmedicine.43.479

Cited by 12 publications

(14 citation statements)

References 19 publications

(26 reference statements)

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“…Despite reports of successful colonoscopic appendectomy using the endo-loop ligation system, this approach may be harmful in patients who have partial intussusception (22)(23)(24). Spontaneously reduced AI cases have also been reported in the literature (25).…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic partial cecum resection in appendiceal intussusception

2019

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Appendiceal intussusception (AI) is a difficult disease to diagnose. Various features of the disease were analyzed in a 35-year-old female patient admitted with abdominal pain and diagnosed with AI. The diagnosis was made with colonoscopy and abdominal computed tomography. Laparoscopic partial cecum resection was performed. Pathology examination revealed foci of endometriosis externa, which infiltrated the muscular layer of the appendix. AI should be kept in mind in the differential diagnosis of recurrent abdominal pain. Colonoscopy is an indispensable examination for differential diagnosis. Laparoscopic partial cecum resection, preserving the ileocecal valve, is an appropriate treatment approach in irreducible cases that are not suspected to be malignant.

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Section: Discussionmentioning

confidence: 99%

Laparoscopic partial cecum resection in appendiceal intussusception

2019

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“…Anatomical conditions associated with appendiceal intussusception can be a wide proximal appendiceal lumen, a mobile mesoappendix, and a fetal type of cecum, with the appendix originating from its tip [4]. Pathological conditions leading to active peristalsis and appendiceal intussusceptions are various as they can include foreign bodies, fecaliths, parasites, polyps, adenocarcinomas, mucoceles, lymphoid hyperplasia, endometriosis, and so forth [4,6,7,8]. The most frequent histopathological finding which comes along with appendiceal intussusception is an inflammation, while the second most common diagnosis is endometrial implants in the intussuscepted appendix [4].…”

Section: Discussionmentioning

confidence: 99%

“…Appendiceal intussusception may lessen spontaneously [7,16]. The intussusception of the appendix may lessen during colonoscopy, when air is insufflated [17], or there may even be a total reduction of it [4].…”

Section: Discussionmentioning

confidence: 99%

Intussusception of the Appendix and Ileum Endometriosis: A Case Report

et al. 2016

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Background: Intussusception of the appendix is a very rare condition. It may clinically mimic acute or chronic abdominal diseases or can be asymptomatic. Case Report: This paper describes our experience with intussusception of the appendix. We report a case of a female with appendiceal intussusception and ileum endometriosis. Conclusion: It is important to know about such a rare condition in order to avoid mistaking it with other abdominal diseases. However, diagnosis is rarely made preoperatively.

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“…It seems likely as mentioned before that a combination of anatomical, physiological and minor pathological changes interact to produce this rare condition. Local pathological irritants such as parasites, fecaliths, foreign bodies, neoplasms (polyps, mucoceles, adenocarcinomas, carcinoid tumors), hypertrophic lymphoid follicles, mucoceles, endometrial implants and postinflammatory scars have been implicated as predisposing lesions for the development of appendiceal intussusception (Atkinson et al, 1976;Gilipin, 1989;Komine et al, 2004;Taban et al, 2006 ). In our clinic we have encountered the case of a calcified appendiceal mucocele acting as the leading point for caecoclic intussusception (Varsamis et al, 2010).…”

Section: Etiology and Predisposing Conditionsmentioning

confidence: 99%