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[Acute abdomen secondary to appendiceal intussusception]

J E Betancourth-Alvarenga1, F Vázquez-Rueda2, F J Murcia-Pascual1

  • 1Unidad de Gestión Clínica de Cirugía Pediátrica, Hospital Universitario Reina Sofía, Córdoba, España.

Anales De Pediatria (Barcelona, Spain : 2003)
|February 26, 2014
PubMed

Insights

Appendiceal intussusception, a rare cause of acute abdominal pain in children, requires surgical intervention. Diagnosis can be aided by ultrasound, with surgery confirming the condition and appendicitis.

Area of Science:

  • Pediatric Surgery
  • Gastrointestinal Radiology

Background:

  • Appendiceal intussusception is an uncommon condition characterized by the telescoping of the appendix into the cecum.
  • It can present with acute abdominal pain, often mimicking acute appendicitis, and is typically diagnosed during surgical exploration.

Observation:

  • This study presents three pediatric cases (under 14 years) experiencing acute right iliac fossa pain.
  • One case received a preoperative diagnosis via ultrasound, while the other two had intraoperative findings consistent with appendiceal intussusception.

Findings:

  • Histological examination confirmed acute appendicitis in all three cases.
  • Surgical management, including appendectomy or hemicolectomy, is the standard therapeutic approach for appendiceal intussusception, often for biopsy and to exclude malignancy.

Implications:

  • Early diagnosis of appendiceal intussusception, potentially aided by advanced imaging, is crucial for appropriate surgical planning.
  • Understanding this rare condition in children is vital for pediatric surgeons and radiologists to ensure timely and effective treatment, differentiating it from typical appendicitis.

Keywords:
Apéndice cecalCecal appendixHiperplasia linfoideIntussusceptionInvaginaciónLymphoid hyperplasia

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