Appendiceal intussusception: a rare finding during colonoscopy. Case report

Authors

DOI:

https://doi.org/10.22516/25007440.638

Keywords:

Intussusception, Appendiceal neoplasms, colonoscopy, endometriosis

Abstract

This is the case of a young patient with an incidental endoscopic finding of a lesion in the cecum during follow-up colonoscopy with benign histology. The diagnostic process and surgical treatment are described. The existing literature was reviewed and the incidence, symptoms and indications of surgical treatment of this rare condition are discussed.

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Author Biographies

Español Español, Español

MD. Profesor de cirugía Universidad Javeriana, jefe de la unidad de colon y recto, Departamento de cirugía. Bogotá 

Español, Español

MD. Profesor de cirugía Universidad Javeriana, Cirujano Gastrointestinal, Departamento de cirugía del Hospital Universitario San Ignacio. Bogotá

Jorge Alejandro Gonzalez Gonzalez, Español

MD. Residente de cirugía general, Departamento de cirugía, Hospital Universitario San Ignacio, Facultad de medicina, Pontificia Universidad Javeriana. Bogotá.

References

McKidd J. Case of invagination of caecum and appendix. Edinburgh Med J. 1858;4:793-7.

Chaar CI, Wexelman B, Zuckerman K, Longo W. Intussusception of the appendix: comprehensive review of the literature. Am J Surg. 2009;198(1):122-8. https://doi.org/10.1016/j.amjsurg.2008.08.023

Collins DC. 71,000 human appendix specimens. A final report, summarizing forty years’ study. Am J Proctol. 1963;14:265-81.

Atkinson GO, Gay BB Jr, Naffis D. Intussusception of the appendix in children. AJR Am J Roentgenol. 1976;126(6):1164-8. https://doi.org/10.2214/ajr.126.6.1164

Gilpin D. Intussusception of the appendix. Ulster Med J. 1989;58(2):193-5.

Komine N, Yasunaga C, Nakamoto M, Shima I, Iso Y, Takeda Y, et al. Intussusception of the appendix that reduced spontaneously during follow-up in a patient on hemodialysis therapy. Intern Med. 2004;43(6):479-83. https://doi.org/10.2169/internalmedicine.43.479

Tăban S, Dema A, Lazăr D, Sporea I, Lazăr E, Cornianu M. An unusual «tumor» of the cecum: the inverted appendiceal stump. Rom J Morphol Embryol. 2006;47(2):193-6.

Lee DJ, Kim HC, Yang DM, Kim SW, Ryu JK, Won KY, et al. A case of intussusception of the appendix secondary to endometriosis: US and CT findings. J Clin Ultrasound. 2015;43(7):443-6. https://doi.org/10.1002/jcu.22188

Duncan JE, DeNobile JW, Sweeney WB. Colonoscopic diagnosis of appendiceal intussusception: case report and review of the literature. JSLS. 2005;9(4):488-90.

Liang HH, Huang MT, Wei PL, Weu W, Lin YH, Tiang C, et al. Endometriosis-induced appendiceal intussusception. Am J Surg. 2009;197(6):e66-8. https://doi.org/10.1016/j.amjsurg.2008.04.024

Sánchez Santamaría M, Sánchez Gualberto A, Alcóucer Díaz MR, Creagh Cerquera R, Pujol de la Llave E. Endometriosis como causa de invaginación intestinal. Rev Clin Esp. 2007;207(10):536-7. Spanish. https://doi.org/10.1157/13111561

Costa M, Bento A, Batista H, Oliveira F. Endometriosis-induced intussusception of the caecal appendix. BMJ Case Rep. 2014;2014:bcr2013200098. https://doi.org/10.1136/bcr-2013-200098

Pérez Cabanas I, Zornoza G, Arconada FA, Oroz F, Voltas F. Endometriósis del apéndice vermiforme. Rev Med Univ Navarra. 1974;18(1-2):69-76.

Gustofson RL, Kim N, Liu S, Stratton P. Endometriosis and the appendix: a case series and comprehensive review of the literature. Fertil Steril. 2006;86(2):298-303. https://doi.org/10.1016/j.fertnstert.2005.12.076

McCluggage WG. Endometriosis-related pathology: a discussion of selected uncommon benign, premalignant and malignant lesions. Histopathology. 2020;76(1):76-92. https://doi.org/10.1111/his.13970

Iqbal CW, Kamath AS, Zietlow SP. Appendiceal intussusception masquerading as an ileocolic intussusception. J Gastrointest Surg. 2012;16(5):1076-7. https://doi.org/10.1007/s11605-012-1848-z

Salehzadeh A, Scala A, Simson JN. Appendiceal intussusception mistaken for a polyp at colonoscopy: case report and review of literature. Ann R Coll Surg Engl. 2010;92(6):W46-8. https://doi.org/10.1308/147870810X12699662981591

Birriel TJ, Smith E, Eyvazzadeh D. Appendiceal intussusception from endometriosis: endoscopic and laparoscopic approach. Ann R Coll Surg Engl. 2017;99(1):e1-e2. https://doi.org/10.1308/rcsann.2016.0244

Sriram PV, Seitz U, Soehendra N, Schroeder S. Endoscopic appendectomy in a case of appendicular intussusception due to endometriosis, mimicking a cecal polyp. Am J Gastroenterol. 2000;95(6):1594-6. https://doi.org/10.1111/j.1572-0241.2000.02108.x

Tavakkoli H, Sadrkabir SM, Mahzouni P. Colonoscopic diagnosis of appendiceal intussusception in a patient with intermittent abdominal pain: a case report. World J Gastroenterol. 2007;13(31):4274-7. https://doi.org/10.3748/wjg.v13.i31.4274

Betancourth-Alvarenga JE, Vázquez-Rueda F, Murcia-Pascual FJ, Ayala-Montoro J. Abdomen agudo secundario a invaginación apendicular. An Pediatr (Barc). 2015;82(1):e56-9. https://doi.org/10.1016/j.anpedi.2014.01.016

Suazo C, Burdiles P, Larach A. Invaginación apendicular. Revista Chilena de Cirugía. 2012;64(1):76-8. https://doi.org/10.4067/S0718-40262012000100013

Figura 1. Apéndice cecal invaginado, visión de la colonoscopia en el polo cecal

Published

2021-06-29

How to Cite

Español, E., Español, E., & Gonzalez Gonzalez, J. A. (2021). Appendiceal intussusception: a rare finding during colonoscopy. Case report. Revista Colombiana De Gastroenterología, 36(2), 275–279. https://doi.org/10.22516/25007440.638

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Case report

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