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[Appendectomy for appendicitis by colonoscopy after a cecal invagination of the appendix during childhood]

P Blanc1, F Delacoste, P Chevassus

  • 1Service chirurgie viscérale, Centre hospitalier intercommunal des Alpes du Sud - Gap, France. pierrre.blanc@chicas-gap.fr

Journal De Chirurgie
|December 11, 2007
PubMed

Insights

Appendiceal intussusception, a rare complication of childhood appendectomy, can occur in adults. Early recognition and endoscopic treatment are possible, and prevention strategies exist.

Area of Science:

  • Gastroenterology
  • Surgical Pathology

Background:

  • Appendiceal intussusception is a rare condition where the appendix telescopes into itself.
  • Historically, it was associated with pediatric surgical techniques involving laparotomy for appendectomy.

Observation:

  • This report details the first case of appendiceal intussusception in an adult who underwent appendectomy in childhood.
  • The patient presented with symptoms suggestive of this delayed complication.

Findings:

  • Radiological imaging revealed characteristic signs of appendiceal intussusception.
  • The pathogenesis involves the invagination of the appendix, potentially related to the surgical technique.
  • Endoscopic treatment was successfully performed, demonstrating a minimally invasive therapeutic option.

Implications:

  • Surgeons should be aware of appendiceal intussusception as a potential delayed complication of childhood appendectomy.
  • Colonoscopic treatment offers a viable alternative to surgery for this condition.
  • Preventive measures, such as coagulating appendiceal vessels, may reduce the incidence of this complication.

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