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Related Experiment Videos

Appendiceal intussusception diagnosed with endoscopic sonography.

Ping-Huei Tseng1, Yi-Chia Lee, Han-Mo Chiu

  • 1Department of Internal Medicine, College of Medicine, National Taiwan University Hospital, 7 Chung-Shan South Road, Taipei 100, Taiwan.

Journal of Clinical Ultrasound : JCU
|July 27, 2006
PubMed
Summary
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Appendiceal intussusception, a rare cause of abdominal pain, can be challenging to diagnose with standard imaging. Endoscopic sonography proved valuable in identifying this condition, leading to successful surgical confirmation and treatment.

Area of Science:

  • Gastroenterology
  • Surgical Gastroenterology
  • Diagnostic Imaging

Background:

  • Appendiceal intussusception is an infrequent cause of abdominal pain, often presenting with right lower quadrant discomfort.
  • Conventional imaging techniques like barium enema, ultrasound, and CT scans have limited diagnostic utility for this rare condition.

Observation:

  • A case presented with intermittent right lower quadrant abdominal pain.
  • Colonoscopy identified an erythematous, polypoid lesion at the base of the cecum.
  • Endoscopic ultrasonography revealed a characteristic concentric structure suggestive of appendiceal intussusception.

Findings:

  • Endoscopic sonography facilitated a tentative diagnosis of intussusception of the appendix vermiformis.
  • Laparoscopic surgery, including appendix reduction and appendectomy, confirmed the diagnosis.

Related Experiment Videos

  • This case highlights the diagnostic challenges and successful management of appendiceal intussusception.

    • Implications:

    • Endoscopic sonography offers a valuable tool for diagnosing appendiceal intussusception when other methods fail.
    • Early and accurate diagnosis is crucial for effective surgical management and patient outcomes.
    • This case contributes to the understanding of a rare gastrointestinal condition and its diagnostic approaches.