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Colonoscopic diagnosis of appendiceal intussusception in a patient with intermittent abdominal pain: a case report

Hamid Tavakkoli1, Sayed-Mohammad Sadrkabir, Parvin Mahzouni

  • 1Department of Gastroenterology, Alzahra Hospital, Isfahan University of Medical Sciences (IUMS), Poursina Hakim Research Institute, Isfahan, Iran. h_tavakoli@med.mui.ac.ir

World Journal of Gastroenterology
|August 19, 2007
PubMed

Insights

Appendiceal intussusception, a rare cause of abdominal pain, was diagnosed via colonoscopy in a 71-year-old man. This case highlights colonoscopy

Area of Science:

  • Gastroenterology
  • Surgical Pathology

Background:

  • Appendiceal intussusception is an uncommon condition often presenting with non-specific symptoms.
  • Diagnosis is frequently delayed, typically occurring during surgery for suspected appendicitis.

Observation:

  • A 71-year-old man presented with several months of intermittent periumbilical abdominal pain.
  • Standard diagnostic tests were inconclusive.
  • Colonoscopy revealed an intussuscepted appendix within the cecum.

Findings:

  • Macroscopic examination of the appendix showed a normal appearance.
  • Microscopic analysis revealed follicular hyperplasia and acute focal appendicitis.

Implications:

  • Appendiceal intussusception should be considered in the differential diagnosis of chronic intermittent abdominal pain.
  • Colonoscopy is a valuable tool for diagnosing appendiceal intussusception, potentially avoiding unnecessary surgical interventions.

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