Intussusception of the appendix secondary to endometriosis: a case report.

Journal of Medical Case Reports
Samia IjazHilary Thompson

Abstract

Intussusception of the appendix is an extremely rare condition that ranges from partial invagination of the appendix to involvement of the entire colon. Endometriosis is an exceptionally rare cause of appendiceal intussusception and only very few cases have been reported in the literature to date. A 40 year-old woman presented to clinic with a long history of lower abdominal pain, loose motions and painful, heavy periods. Subsequent colonoscopy revealed submucosal endometriotic nodules in the sigmoid as well as a polyp thought to be arising from the appendix, which had inverted itself. She was referred to a colorectal surgeon because the polyp could not be removed endoscopically despite several attempts. At laparotomy, the appendix had intussuscepted but it was possible to reduce it and therefore a simple appendicectomy was carried out. On histology, there were widespread endometrial deposits within the wall of the appendix and this was thought to be the basis for the intussusception. Histological evidence of the lead point is of crucial importance in cases of appendiceal intussusception, in order to exclude an underlying neoplastic process. Consequently, surgical resection is necessary either through an open or a laparoscopic ...Continue Reading

References

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Citations

Mar 1, 2012·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Corey W IqbalScott P Zietlow
Apr 13, 2011·Journal of Medical Case Reports·Styliani LaskouSpiros Papavramidis
Jul 22, 2011·Journal of Medical Case Reports·N KatsikogiannisCe Simopoulos
Nov 16, 2013·International Surgery·Francesc FeliuVicente Vicente
Nov 10, 2009·Journal of Minimally Invasive Gynecology·Guoyun WangIan S Fraser
May 24, 2011·Diagnostic and Therapeutic Endoscopy·Hassan Seddik, Monsef Rabhi
Jun 24, 2014·Journal of Clinical Ultrasound : JCU·Dong Jun LeeSuk Hwan Lee
Jul 29, 2015·Journal of Medical Case Reports·Woo Yong Lee, Ji Hyun Noh
Oct 27, 2016·The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi·Min Sik HwangGab Jin Cheon
Sep 15, 2020·Curēus·Anupam K GuptaAvraham Belizon
Apr 22, 2020·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·Mohamed MabroukRenato Seracchioli

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Methods Mentioned

BETA
hysterectomy
surgical resection

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