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Appendiceal Intussusception: A Diagnostic Challenge.

Inbal Samuk1, Adriana Nica1, Yaniv Lakovski2

  • 1Department of Pediatric Surgery, Schneider Children's Medical Center of Israel, Sackler Faculty of Medicine, Tel Aviv University, Petah Tikva, Israel.

European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [Et Al] = Zeitschrift Fur Kinderchirurgie
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PubMed
Summary
This summary is machine-generated.

Appendiceal intussusception, a rare pediatric condition, often presents with intermittent abdominal pain and is treated with appendectomy. Early recognition by pediatric surgeons is key to optimal management and avoiding complications.

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Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Radiology

Background:

  • Appendiceal intussusception is a rare pediatric condition involving appendix invagination into the cecum.
  • Diagnosis is challenging due to non-specific symptoms, often requiring intraoperative confirmation.

Purpose of the Study:

  • To present a series of five pediatric cases of appendiceal intussusception.
  • To discuss features aiding early recognition and optimal treatment by pediatric surgeons.

Main Methods:

  • Retrospective review of a tertiary medical center database (1995-2016).
  • Data collected included demographics, clinical characteristics, imaging, surgical technique, and outcomes.
  • Descriptive statistical analysis of findings.

Main Results:

  • Five patients (27-42 months) presented with intermittent abdominal pain, vomiting, diarrhea, fever, or rectal bleeding.
  • Average symptom duration was 22.6 days; multiple diagnostic studies were performed per patient.
  • Appendectomy with cecal rim resection was performed for complete/partial intussusception.

Conclusions:

  • Intermittent abdominal pain is the primary symptom; patients may be asymptomatic between episodes.
  • Appendiceal intussusception can lead to ileocolic intussusception, often concealing it.
  • Awareness among pediatric surgeons and radiologists is crucial for timely management and complication avoidance.