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[Intussusception of the appendix]

Katrine Brodersen1

  • 1Kirurgisk Afdeling, Hospitalsenheden Horsens, Sundsvej 30, 8700 Horsens. katrine.brodersen@viborg.rm.dk.

Ugeskrift for Laeger
|February 5, 2015
PubMed

Insights

Appendiceal intussusception, a rare condition, can be caused by endometriosis in adults. This case highlights a 41-year-old woman with rectal bleeding due to appendiceal intussusception caused by endometriosis.

Area of Science:

  • Gastroenterology
  • Gynecologic Pathology

Background:

  • Appendiceal intussusception is rare, affecting ~0.01% of the population.
  • In adults, endometriosis is a common lead point for appendiceal intussusception.
  • In children, appendiceal inflammation is the typical cause.

Observation:

  • A 41-year-old woman presented with rectal bleeding and a cecal polypoid mass.
  • Colonoscopy revealed a 1x3 cm tumor in the cecum.
  • The patient had no prior gynecologic history or abnormal physical examination findings.

Findings:

  • A right-sided hemicolectomy was performed for the cecal mass.
  • Pathological examination confirmed endometriosis as the lead point.
  • The appendix also showed evidence of acute and chronic inflammation.

Implications:

  • This case underscores the importance of considering endometriosis in adult appendiceal intussusception, even without a gynecologic history.
  • Accurate diagnosis and surgical management are crucial for resolving symptoms and preventing complications.
  • Further research into the mechanisms of endometriosis-induced appendiceal intussusception may improve diagnostic and therapeutic strategies.

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